
Endometrial Ablation for Heavy Bleeding: Is It Right for You?

Few organs in your reproductive system play as necessary a role as your uterus, which is responsible for your menstrual cycle, as well as egg fertilization and gestating babies until birth.
Menstruation is the shedding of the endometrium (the lining inside of your uterus) when there isn’t a pregnancy. But sometimes the monthly bleeding becomes excessive.
Heavy bleeding may happen periodically for several reasons, but some causes are more serious than others and need medical attention.
If you live in the Fort Mary, Florida, area and are dealing with heavy bleeding or other reproductive problems, Dr. Christopher Quinsey and his dedicated medical team can help.
If your monthly menstruation is excessive, endometrial ablation offers a practical solution when noninvasive treatments have failed, but it’s not for everyone, particularly women who plan to get pregnant.
Heavy bleeding that endometrial ablation treats
Heavy bleeding, also known as menorrhagia, is one of the most common reasons for having this procedure. Menorrhagia can present in several ways:
- Bleeding heavily enough that you go through tampons in two hours or less
- Heavy bleeding lasting longer than eight days
- Becoming anemic from the excessive blood loss
We destroy the endometrium during this process, but it can regrow over time. After a few years, if you start going through the same issues during menstruation, we can find other means of treating the problem.
Facts about endometrial ablation
This procedure works by removing the endometrium to reduce bleeding, and in some cases, it can stop menstrual bleeding altogether. This form of ablation is minimally invasive, with the use of small tools that we insert through the vagina.
Methods to perform this procedure include:
- Radiofrequency, in which we destroy the lining with a mesh applicator that emits energy from radio waves
- Balloon therapy involves inserting a balloon filled with heated fluid that is applied to the lining
- Hydrothermal — similar to balloon therapy, this procedure uses heated saline vapor pumped into your uterus
- Microwave energy is sent using a special wand to remove the lining
- Electrical current ablates the lining (a less common method)
- Cryoablation, freezing the lining
Should you consider endometrial ablation?
The primary issue with this treatment concerns your ability to have children after the procedure. With the endometrium gone, pregnancy is possible, but getting pregnant and giving birth are far riskier.
This form of ablation has some risks, like allergic reaction, potential damage to nearby organs, burning or puncturing of the uterus, and, ironically, heavy bleeding, but they are rare.
Some women should avoid this procedure, such as those who:
- Are postmenopausal
- Unwilling to use birth control afterward
- Dealing with uterine fibroids, infections, or endometrial hyperplasia
- Struggling with uterine cancer
If endometrial ablation isn’t for you, we have other treatment options, including hysterectomy, so contact us today to find the best solution to meet your health needs.
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