Pearl obstetrics | gynaecology


Endometrial ablation

  • Endometrial ablation for heavy periods
    Endometrial ablation - a treatment for heavy periods
    A safe way to reduce your periods with a usually rapid recovery.

Endometrial ablation – Glengarry Private Hospital, Perth

Endometrial ablation – Summary

A low impact alternative to hysterectomy

1. Ablation is a treatment to reduce or stop periods.
2. Many women also see a reduction in period pain.
3. An ablation is a good choice for many women with heavy periods.
4. Usually performed as day case surgery at Glengarry Private Hospital in Perth.
5. Endometrial ablation is well tolerated by most women.
6. Generally, a few days to a week needed to fully recover.
7. Complications are not common.
8. Your family must be complete, and contraception or a partner’s vasectomy is still needed.

Any surgical or invasive procedure carries risks. Before proceeding, you should do your own research. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. For instance, your GP’s opinion will be very helpful.

Call us to arrange a consultation • Perth (08) 9448 9822

 

Endometrial ablation – what is it?

Endometrial ablation is a well-tolerated procedure to reduce heavy periods, which we often do at Glengarry private Hospital, Perth. The ablation operation treats & treats the lining of the womb by the use of heat or energy. In the majority of cases, heavy or irregular periods will be stopped or reduced to light flow only. Period pain is often reduced. Some women may experience just spotting rather than a period after their endometrial ablation. Around 5% of patients may not be satisfied after this operation and may require additional treatment.

 

Who should have endometrial ablation?

Not all women with heavy periods are suitable. Some abnormal uterine conditions like some fibroids, or some shapes of womb, may make ablation more difficult. If you still want to have children, endometrial ablation is not an option since the uterine lining is removed during the treatment. If you have had a female sterilisation, or your partner has had a vasectomy, an ablation can be an ideal choice for heavy periods. In Perth, endometrial ablation has been growing in popularity, as women realise they can stop annoying heavy periods with fast recovery.

 

There are several different types of endometrial ablation

 

1. Novasure endometrial ablation

Novasure is radio-frequency energy controlled endometrial ablation. A fan-like device is inserted carefully into the womb after measuring it. The device checks to make sure all is OK, and the device is then activated. The R-F energy removes the lining of the womb. It can get “into the corners” of the uterus better – as long as the womb is a normal size and shape. Overall, you’re more likely to completely get rid of your periods with Novasure. Over 50% of women will have no further period, and most of the rest will have very minimal bleeding. Novasure is good for regular-shaped wombs. Most endometrial ablations in Perth are done using Novasure.

 

2. Balloon endometrial ablation (Cavaterm/Thermachoice)

Thermachoice used to be one of the best balloon methods of ablation until it was withdrawn. Cavaterm is now the balloon method used. About 90% of women are satisfied/very satisfied with balloon ablation and many see their period pain reduced at the same time.

First, a soft balloon attached to a thin tube is inserted into the vagina, through the cervix and placed into the uterus. Then the balloon is expanded with a sterile fluid which expands to fill your uterus. The fluid in the balloon is heated & maintained while the uterine lining is treated and the endometrial ablation completed. When the treatment cycle is complete, all the fluid is withdrawn and the tube is removed. Nothing stays in your uterus. Your womb lining has been treated by the ablation and you will have loss like a period in the next few days. After this you can get a clear discharge for a few weeks. Cavaterm is particularly good for large, irregular wombs.

 

3. Other types of endometrial ablation

The other types of ablation are performed using an operating hysteroscope. The lining is treated, or carved out (resected) and/or cauterised while fluid irrigates the womb and keeps the view clear. This is how endometrial ablation used to be done before the technology in balloon ablations or Novasure was perfected. These old methods take longer, requires a lot more skill, are more expensive, and there are slightly more potential complications. This method can still be good if you have a something in the womb like a fibroid or a septum that prevents one of the newer methods from being used. For instance, we can resect a problem fibroid, and then treat the rest of the womb at the same time.

 

Can I get pregnant after endometrial ablation?

Endometrial ablation should never be used if you ever want to have children. Pregnancies after ablation are rare, and can be very dangerous for both baby and mother. Since there is a chance of pregnancy, excellent contraception or, even better, male or female sterilisation should be in place after treatment. We will talk to you about this when you come to see us in our offices at Glengarry Private Hospital, Perth.

 

What will I feel after the endometrial ablation?

You will usually feel mild or moderate cramping like a period. We will give you simple painkillers to make you feel more comfortable. After a few hours in Glengarry Private Hospital here in Perth, you should be driven home where you can take it easy for the rest of the day. Occasionally there is no pain, or sometimes more severe pain which needs stronger painkillers.

 

What can I expect after I go home?

Most women can return to light work and family commitments a few days to a week after endometrial ablation. Sexual activity can be resumed after your first check-up after 2 weeks. Most patients have a pinkish and watery discharge for up to a month or so. In rare cases, the first period after the ablation is heavy, but this will begin to improve thereafter.

You should seek medical help if you develop a fever, pelvic pain not relieved by ibuprofen, vomiting, or a greenish discharge.

 

What are the risks with endometrial ablation?

The endometrial ablation is generally a safe procedure. The commonest risk is getting an infection afterwards which affects about 1/20 women. This is usually managed with a course of antibiotics. There are some very rare, but possible, risks including blood loss, burn of internal organs or cervix or vagina (if the fluid leaks), and perforation or rupture of the wall of the uterus. We’ve never seen any of these complications so far in our practice. Collection of blood or tissue in the womb during the months afterwards is also possible and may require another procedure to correct the problem. All of these risks are very rare.

 

About us

We are accredited in all the standard methods: Novasure, Cavaterm, Thermachoice III (currently withdrawn), and the classic hysteroscopic ablation and hysteroscopic resection techniques. Please contact our clinic at Glengarry Private Hospital in Perth. You will need a referral from your GP.


Endometrial ablation

Endometrial ablation is an excellent treatment for heavy periods. Usually a day-case procedure, with rapid recovery.


PEARL obstetrics | gynaecology

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