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Just what is an Endometrial Ablation?

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An endometrial ablation is an outpatient surgical procedure that destroys the uterine lining to eliminate or reduce bleeding from the uterus. This procedure is an alternative to a hysterectomy for women with heavy uterine bleeding who wish to avoid a hysterectomy. Women who have had a successful endometrial ablation will have light to normal periods, and some women will have no menstrual bleeding at all. The endometrium, however, has regenerative properties and some women’s heavy bleeding may recur.

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Only women no longer desiring to have children are treated in this manner. Once the lining cells of the uterus are destroyed by the procedure, there is no place for a developing fetus to attach within the uterus. If some cells remain following an endometrial ablation, there exists the possibility of pregnancy occuring. If pregnancy were to occur, termination would most likely be recommended as doctors are concerned that without adequate cells lining the inside of the uterus, the placenta would grow directly into the muscle wall of the uterus and take hold like the roots of a tree. As a result, the placenta would not be able to separate at the time of delivery, and hemorrhage could occur. This procedure is not a form of birth control and another method of birth control must still be used to avoid pregnancy.

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Below are the different methods used to perform endometrial ablations and links explaining just how they are performed and what one can expect.

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The Different Endometrial Ablation Methods:

"Rollerball":
Rollerball Ablation

"Balloon":
Gyncare Thermachoice Uterine Balloon Therapy
Balloon Thermo-Ablation

"Microwave":
MEA

"Laser":
Dr. Indman on Laser Ablation

Cryoablation:
Her Option

NovaSure Technology:
NovaSure
Novasure: The 90 Second Endometrial Ablation

Cavaterm System:
Cavaterm

HTA® ~ Hydrothermal Ablation System:
Hydrothermal Endometrial Ablation

General Endometrial Ablation Links:
HeavyBleeding.com
RSC Bay Area - Endometrial Ablation
Menstruation: Heavy Bleeding (Menorrhagia)
Global Endometrial Ablation – A Comparison of Various Techniques

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References:

A Gynecologist's Second Opinion:
The Questions and Answers You Need to Take Charge of Your Health

William H. Parker, M.D., with Rachel L. Parker
Contributions by Ingrid A. Rodi, M.D. and Amy E. Rosenman, M.D.
New York, NY: Plume, 1996


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Last Revision: August 2006