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Endometrial Ablation Endometrial ablation is the removal or destruction of the endometrium (lining of the uterus). It may be considered as a quick day-case treatment for heavy bleeding and most women return to normal activities in a day or two. It is a possible alternative to hysterectomy for many women who wish to avoid major surgery. After a successful endometrial ablation, most women will have little or no menstrual bleeding. Endometrial ablation has traditionally been done using a hysteroscope or a resectoscope which is a special type of telescope allowing the surgeon to see inside the uterus. It has a built in wire loop that uses high-frequency electrical energy to cut or coagulate tissue. The resectoscope has the advantage of being able to remove polyps and some fibroids at the time of ablation. Balloon ablation uses a balloon placed in the uterine cavity through the cervix. Hot water is circulated inside the balloon to destroy the endometrium. Endometrial ablation may be considered for women who have menstrual bleeding that is impacting their life, and do not have other problems that require a hysterectomy Questions you might ask include: Do your heavy periods limit your activities? Does excessive bleeding cause you to be anemic or tired? Does excessive bleeding limit your intimate time with your partner? |

