Women’s Health Care Resources

Gynecology Services

Endometrial Ablation

Endometrial ablation is a procedure done to alleviate heavy menstrual bleeding. This procedure surgically destroys (ablates) the lining of your uterus (endometrium). The goal of endometrial ablation is to reduce menstrual flow. In some women, menstrual flow may stop completely.

No incisions are needed for endometrial ablation. Some types of endometrial ablation can be done in our office while others need be performed in the hospital.


Novasure endometrial ablation is a one-time, quick minimally invasive procedure that is used to treat heavy menstrual periods. This procedure significantly reduces or stops heavy periods in nearly 77.7% of women without the use of hormones or invasive surgery.

It is an in-office procedure that removes the endometrium or lining of the uterus that is causing the heavy bleeding. It works by inserting a small device through the cervix to the uterus which emits precisely measured radio-frequency energy for 90 seconds to safely remove the uterine lining. After this, the device is removed and nothing is left behind. 92.8% of women were satisfied with their results 12 months after having a Novasure ablation and 96.7% would recommend the procedure to a friend.

Hydro Thermal Ablation (HTA)

Hydro Thermal Ablation (HTA) is another type of endometrial ablation performed to treat heavy uterine bleeding. The HTA system destroys the inner lining of the uterus by circulating heated saline solution.

This procedure is done in the operating room under general anesthesia. During the procedure, your doctor will slightly open your cervix and insert a telescope device into the uterus. The uterine cavity is then filled with room temperature saline to clean the uterus. The fluid will be heated to 90*C and circulated for 10 minutes to destroy the lining of the uterus. Once the treatment is complete, room temperature saline will be flushed through to cool off the uterus. All of the saline will then be removed. You may experience some cramping during the treatment portion of the procedure. You may have light spotting or discharge for days to a week after the procedure while the remainder of the treated uterine lining drains away.

An endometrial ablation is not a form of birth control so you still need to address contraceptive options with your health care provider. A sampling of the uterine lining (endometrial biopsy) is done prior to an endometrial ablation to rule out a more concerning cause for heavy menstrual bleeding.

Schedule an appointment today to see if an endometrial ablation is an option for you to help control heavy menstrual bleeding.


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