Endometrial Biopsies

Endometrial Ablation Frequently Asked Questions

What is endometrial ablation? Endometrial ablation destroys a thin layer of the lining of the uterus. Menstrual bleeding does not stop but is reduced to normal or lighter levels. If ablation does not control heavy bleeding, further treatment or surgery may be needed.

Why is endometrial ablation done?

• The lining of the uterus—the endometrium—is shed by bleeding each month during menstruation. Some women have heavy bleeding or bleeding that lasts longer than usual.
• Endometrial ablation is used to treat many causes of heavy bleeding. In most cases, women with heavy bleeding are treated first with medication. Endometrial ablation may be used if the medication cannot control heavy bleeding.
• Endometrial ablation does not involve removing the uterus and does not affect a woman’s hormone levels.

Who should not have endometrial ablation? Endometrial ablation should not be done in women past menopause. It is not recommended for women with certain medical conditions, including:

• disorders of the uterus or endometrium
• endometrial hyperplasia
• cancer of the uterus
• recent pregnancy
• current or recent infection of the uterus

Can I still get pregnant after having endometrial ablation? Pregnancy is not likely after ablation, but it can happen. If it does, the risks of miscarriage and other problems are significantly increased. If a woman still wants to get pregnant, she should not have this procedure.

Women who have endometrial ablation should use birth control until after menopause. Sterilization may be an excellent option to prevent pregnancy after ablation.

A woman who has had ablation still has all her reproductive organs. Routine cervical cancer screening and pelvic exams are still needed.

What happens before having endometrial ablation? The decision to have endometrial ablation should be made between you and your obstetrician-gynecologist (ob-gyn). It would be best to talk about the procedure’s risks and benefits.

A sample of the uterus lining is taken (endometrial biopsy) to ensure you do not have cancer. You also may have the following tests to check whether the uterus is the right size and shape for the procedure:

• Hysteroscopy—A device called a hysteroscope is used to view the inside of the uterus.
• Ultrasonography—Sound waves are used to view the pelvic organs.

If you have an intrauterine device (IUD), it must be removed. You cannot have endometrial ablation if you are pregnant.