Uterine Ablation

Uterine ablation—more precisely called endometrial ablation—is a procedure that destroys (ablates) the lining of the uterus (the endometrium) to reduce or stop heavy menstrual bleeding.

It’s commonly used to treat symptoms caused by conditions like Uterine fibroids or hormonal imbalances.

What it does

• Removes or destroys the uterine lining

• Makes periods much lighter—or stops them entirely

• Does not remove the uterus

Who it’s for

Doctors may recommend it if you:

• Have very heavy or prolonged periods

• Have anemia from blood loss

• Haven’t responded well to medications

It’s usually not recommended if you:

• Want to become pregnant in the future

• Have certain uterine abnormalities or cancer

How the procedure works

There are several methods, all designed to destroy the uterine lining safely:

• Thermal (heat) – hot fluid or a heated balloon

• Radiofrequency – electrical energy

• Freezing (cryoablation)

• Microwave energy

Most procedures:

• Take less than 30 minutes

• Are done in a clinic or outpatient setting

• Use local or light sedation (sometimes general anesthesia)

What to expect

During:

• Mild cramping

• A warming or pressure sensation

After:

• Cramping for a day or two

• Watery or bloody discharge for a few weeks

• Fatigue for a short time

Recovery

• Many people return to normal activities within a few days

• Full healing takes a few weeks

Uterine ablation vs. other procedures

Compared to myomectomy

• Ablation destroys lining but doesn’t remove fibroids directly

• Myomectomy removes fibroids and preserves fertility

​​​​​​​Compared to hysterectomy

• Hysterectomy is permanent and removes the uterus

• Ablation is less invasive with quicker recovery