How to Know if You Are a Good Candidate for Endometrial Ablation

Good Candidate for Endometrial Ablation

About one third of women have menstrual bleeding that’s heavy enough to affect their daily lives, whether that means staying near a bathroom, avoiding activities, or resting at home because of cramping.

When your heavy bleeding doesn’t improve with conservative treatments like medications, you may be a good candidate for endometrial ablation. If you have questions about your periods, call us at Gynecologic Surgery and Menopause Solutions — we’re here to help. Meanwhile, here’s what you need to know about endometrial ablation.  

Endometrial ablation explained

During an endometrial ablation, we remove the endometrium, which is the tissue lining the inside of your uterus. We use an innovative radiofrequency device called NovaSure® that’s inserted through your cervix and into your uterus.

Once NovaSure’s narrow wand is properly placed in your uterus, a net that’s part of the device expands and conforms to the shape of your uterus, covering the entire inner surface. Radiofrequency energy is delivered through the netting, so the entire endometrium is gently heated and destroyed at one time.

Although your procedure takes about five minutes, it only takes 90 seconds of radiofrequency energy to perform your endometrial ablation. After a few months of healing, your periods start again, but they’ll be significantly lighter.

Factors that make you a good candidate for endometrial ablation

You may qualify for an endometrial ablation when:

You have abnormally heavy periods

This is the first criteria for being a good candidate because endometrial ablation is done to reduce or stop bleeding. Use these guidelines to determine whether your periods are unusually heavy:

If you have one or more of the above criteria, your menstrual bleeding is too heavy, and you’re a potential candidate for endometrial ablation.

You don’t want to have children in the future

Endometrial ablation is not an option if there’s even a slight chance that you want to have children in the future. The endometrium must be intact and functioning to have a baby. Since it’s removed during endometrial ablation, you should not count on getting pregnant after your procedure.

 

However, some women do become pregnant after an ablation, so you’ll need to keep using birth control. If you get pregnant, you’re at a high risk for miscarriage and other complications such as preterm delivery, fetal death, and intrauterine growth restriction, which is when the baby doesn’t grow to a normal weight.

You’ve tried other treatments

In most cases, endometrial ablation is only considered after all other therapies have been tried. The first line of treatment includes medications and hormonal intrauterine devices that decrease menstrual flow.

If you have an underlying gynecologic condition that’s responsible for your heavy bleeding, we treat that problem before considering endometrial ablation. Gynecologic conditions that can cause heavy menstrual bleeding include:

Copper IUDs also tend to cause heavy bleeding during the first year after they’re inserted.

Reasons you may not be a good candidate for endometrial ablation

Endometrial ablation should not be performed when:

When you’re a good candidate, endometrial ablation is a highly effective procedure that reduces menstrual bleeding and makes a significant difference for most women. For a full assessment of your heavy menstrual bleeding, call Gynecologic Surgery and Menopause Solutions, or schedule an appointment online.

You Might Also Enjoy...

When Should You See a Doctor About Pelvic Pain?

Do you ever wonder when you should stop putting up with pelvic pain? Maybe you think it’s part of your normal menstrual cycle or you’re waiting for it to go away. But pain also signals a problem, so here are some tips on when to see a doctor.

What Is It Like to Live With Endometriosis?

Can you imagine living with debilitating pain and believing it’s just a normal part of life? That’s what it’s like when endometriosis causes weeks of severe pain every month, yet women believe that it’s just part of menstruation.

Are You at Risk for Ovarian Cysts

If you wonder about your risk for ovarian cysts, you may be shocked to learn that your risk is the same as other women: nearly 100% until you reach menopause. Here’s what you need to know about ovarian cysts and why that high risk isn’t a concern.

Why BioTE is Popular Among Menopausal Women

Do you know that half of all women experience painful intercourse due to menopause? And that’s one of many possible health problems that can develop when hormone levels drop. Treating those problems is why BioTE® is popular among menopausal women.

BBL: Everything You Need to Know About Broadband Light

Let’s say you want to get rid of those unattractive age spots and eliminate nagging facial hair. Can you imagine getting it all done at the same time? You can treat those problems and more at one time with gentle and noninvasive BBL treatment.

Why Botox Continues to Have a High Satisfaction Rate

With rapid advances in technology, today’s best treatment is often tomorrow’s old news as it’s replaced with the latest discovery. But not Botox®. With millions of satisfied patients, Botox has been the top minimally invasive procedure for decades.