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Endometrial Ablation is a good option for women who have problems with heavy menstrual flow without severe pain. Our office has offered Endometrial Ablation since 1991. This procedure is performed in-office using a special freezing probe, or in an outpatient setting using hysteroscopy and either a coagulating electrode ball or mesh or heated balloon or fluid. The treatment destroys the lining of the uterus; leading to reduced or absent menstrual flow in 8 out of 10 cases. Risks of the procedure are similar to those of a D&C. Recovery is generally 2 days, including the day of surgery.
Endometrial Ablation is best used in the setting of heavy menstrual flow without pelvic pain. One author reported a reduction in PMS symptoms after Endometrial Ablation. This procedure is likely to cause a woman to be unable to get pregnant in the future, although it is not a form of birth control. Since pregnancy after an ablation carries extremely high risks, women are encouraged to consider tubal sterilization, or plan to use another method of birth control,if the possibility of future pregnancy exists.
Options for Endometrial Ablation Include:
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