What is an endometrial ablation?

• It involves a general anesthetic and a controlled cauterization of the endometrium. This is the area in which the uterus sheds during menstruation.
• It may be a suitable alternative to hysterectomy, but has higher rates of recurrence (heavy bleeding returns) compared to hysterectomy.
• It may not be a suitable choice when women with fibroids, endometrial hyperplasia or malignancy, or endometriosis.

When is an endometrial ablation performed?

• When a patient has heavy menstrual bleeding, non-surgical treatments have failed or are not appropriate.

How is the procedure performed?

• Location: at Wakefield Specialist Centre.
• Anesthetic: the procedure is performed under general anesthetic, meaning a patient is asleep.
• Duration of the operation: this depends on the extent of the disease. Mild to moderate cases may take 45 to 90 minutes. Severe cases may take 2-4 hours.

What should I expect after endometrial ablation?

• When you wake up: you will have an IV line in the arm or hand. Oral pain relief is usually all that is required.
• Nights in hospital: most patients will go home the same day (day-case surgery).
• Time off work: 1 week (back to work the following Monday).
• When back to normal functioning: as soon as you feel able, with no pain or discomfort.

What happens afterward?

• This will occur 3-6 weeks after the initial operation.
• If any issues occur when discharged home, patients can contact the Wakefield Specialist Centre directly.
• Dr. McDowell and Bedford will be on call to assist when necessary.

Links to additional resources

• The Royal Australian and New Zealand College of Obstetricians and Gynaecologists – Endometrial Ablation.