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Endometrial Ablation

Endometrial Ablation with Electro-Surgery

Endometrial Ablation is a procedure where all or part of the lining of the uterus (endometrium) is removed or destroyed in an effort to improve vaginal bleeding (endometrium highlighted in picture).

While some patients will cease to have menstrual periods others may continue to have periods albeit of lighter flow.

The procedure usually requires placement of a hysteroscope by a vaginal approach to allow the endometrium to be seen.

While many methods are available to perform ablation, the most common use either electro-surgical devices or thermal devices like the Gynecare Thermachoice Balloon or Versapoint System.

Ablation Using Thermochoice Balloon

The procedure usually requires general anesthesia and can be performed as outpatient surgery. Recovery before returning to work is usually a week or less.

How well do these procedures work? Overall success rates are about 68%. See below.

5 Years After Procedure	Thermal Balloon	Electro - Surgical
No Menses	16%	24%
Normal, Light or No Menses	68%	69%
No Cramps	37%	37%
Moderate, Mild or No Cramps	68%	66%

Loeffer, Franklin, et al, Update: five year follow up of Thermachoice balloon endometrial ablation, American Association of Gynecologic Laparoscopists Annual Meeting, 2001.