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.

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