Endometrial Ablation

What is endometrial ablation?

This is a surgical procedure to burn away the lining of the uterus (endometrium).  This procedure is used to treat heavy periods (menorrhagia). 

 More information about the endometrial ablation procedure

What is the success rates of endometrial ablation?

Following endometrial ablation there are 4 possible outcomes:

  1. 40% of women have no bleeding at all

  2. 40% of women have reduced bleeding

  3. 10% of women the bleeding returns to a more normal level

  4. 10% of women there is no change

Is there any conditions where endometrial ablation is not recommended?

There are a number of conditions where endometrial ablation is not suitable. These include:

  • Large fibroids filling the uterine cavity

  • Adenomyosis. Especially if you suffer pain as it can exacerbate your pain symptoms with your menstrual periods.

  • Pre-cancerous or cancerous changes to the womb

  • Future pregnancies. Following an endometrial ablation, pregnancy is contraindicated. Some form of permanent contraception is recommended to be in place if this procedure was to be performed.

Are there complications?

Complications are rare, but include:

  • Anaesthetic complications

  • Uterine perforation is very rare (1 in 2500 cases)

  • Bleeding

  • Infection (this can present with foul smelling discharge or with pain or an increase in bleeding symptoms).

Do I have pain after the procedure?

It is common to have mild crampy pain for the first 1-2 days following the surgery. Regular paracetamol and ibuprofen is recommended following the procedure.

When will I know if it has worked for me?

It can take up to the 3-6 months before the full effect of the endometrial ablation before you can see a benefit. It is important in the month’s following surgery to track your cycle to see if there has been an improvement.