April 18, 2017
Endometrial ablation is a procedure which helps in stopping or reducing the menstrual flow in women. It does so by destroying the thin lining of the uterus and treats conditions of heavy bleeding. However, it should be noted that first medication is opted and only if it does not work, endometrial ablation is carried out. Also, women seeking motherhood in future must not undergo this procedure as it reduces the probability of becoming pregnant and even if pregnancy occurs, chances of miscarriage is very high. Besides, women past menopause, recent pregnancy or who have cancer or infection in the uterus are not advised to undergo this treatment method. Patients of endometrium hyperplasia or other disorders associated with the uterus should abstain from this procedure.
The devices and techniques commonly used in endometrial ablation include thermal balloon, cryotherapy, circulated hot fluid, microwave energy, radiofrequency and electro-surgery. In the heated fluid procedure, fluid is heated and transferred into the uterus through a hysteroscope where it stays for about 10 minutes destroying the lining of the uterus. In the thermal balloon system, a similar procedure is followed except that the fluid is placed inside the balloon. In other cases, a probe which is inserted into the uterus through the cervix, releases radiofrequency or microwave energy on the lining, thereby, destroying it. Electro-surgery is carried out with the help of resectoscope and electrical wire loops are used to destroy the lining.
Common side effects associated with endometrial ablation include nausea, light discharge of blood, frequent urination and cramps. Besides, infection, bleeding and vaginal burns might occur as side effects of the procedure. If in case the fluid used in the technique reaches the bloodstream, serious complications might arise which can even lead to death. Therefore, careful examination of the amount of fluid must be done before and during the procedure.
Disclaimer: The information given in this write-up is purely for educating the reader. It is not meant to be a substitute for any advice from a medical expert.