Endometrial ablation at Cardiff and Vale Hospitals

What is endometrial ablation?

Endometrial ablation is a procedure that surgically destroys (ablates) the lining of your uterus (endometrium). The goal of endometrial ablation is to reduce menstrual flow. In some women, menstrual flow may stop completely.

What are the benefits of endometrial ablation?

If you experience heavy periods that do not respond to conservative treatments methods your consultant may recommend endometrial ablation.

What happens during endometrial ablation?

Endometrial ablation takes about 45 minutes and may be done using spinal or general anaesthetic. 

Your gynaecologist will pass a thin, flexible tube with a light at the end called a hysteroscope through your vagina and cervix into the cavity of your womb and pass fluid through the telescope to swell the womb. 
They will use electricity or laser energy to remove the lining of your womb and any polyps or small fibroids they find.

Going home after endometrial ablation

Endometrial ablation is usually performed as a day case meaning you should be able to go home the day of the procedure. You may experience bleeding or discharge for several weeks following this procedure. You may also cramping and nausea. 

Most women can return to normal activities after 2-4 days. Be sure and discuss returning to work with your consultant. 

Note: endometrial ablation causes reduced menstrual flow. In some cases patients no longer have periods. You should not have this procedure if you plan to have children.

What complications can happen?

Every surgical procedure has a risk of complications. Be sure and discuss any concerns you might have about these risks with your surgeon.

General complications of any operation:

• Pain
• Sickness or feeling sick
• Bleeding or discharge
• Infection
• Blood clots (deep vein thrombosis)

Specific complications of endometrial ablation may include:

• Accidental puncture of the uterus or nearby organs
• Burns to the surface of the uterus
• Cervical laceration (tearing of the opening of the uterus)
• Continued bleeding or pain

Why not print this treatment page so you can discuss any concerns you have with your surgeon?