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Overview

Endometrial Ablation: Treatment, Cost and Side Effects

What is the treatment ? How is the treatment done? Who is eligible for the treatment?(When is the treatment done ?) Who is not eligible for the treatment? Are there any Side Effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment ?

Endometrial ablation is a procedure often suggested by doctors to reduce the mesnurational flow. Thus if one during menstrual periods, have a heavy flow, or have periods that last for a long time then th doctor may suggest to reduce the mensuration flow by removing the endometrial lining. If drugs doesn’t facilitate, your doctor would possibly counsel mucosa ablation. It will curb the injury or stop it all. The heavy flow of mensuration may be due to ever-changing hormones or it might be due to fibroids and polyps growing in the female internal reproductive organ. Thus, this treatment of endometrial ablation is used to reduce the heavy flow during mensuration so as to either stop the mensuration or to return the flow back to the normal. Endometrial ablation removes the mucous membrane, that is the lining of the womb. In most cases, this stops you from having periods. If it doesn’t preferably stop your periods, your flow will at least come back to normal .Endometrial ablation isn’t surgery. The doctor doesn’t build any surgical cuts. Instead, the doctor inserts skinny tools through female vagina and perform the procedure.

How is the treatment done?

Endometrial ablation isn’t surgery. The doctor doesn’t make any surgical cuts. Instead, they insert very thin tools through vagina to reach the female uterus. The various types of endometrial ablation opted by the doctor are as follows:

  1. Hydrothermal: In this ablation the doctor gently pumps a fluid into the uterus and then heats that fluid. It is through this heat the utereine lining gets removed and the endometrial lining gets destroyed.
  2. Balloon therapy: In this procedure the docotor makes use of a balloon gudied thin tube that reaches the uterus. The balloon has a heated fluid which upon reaching the uterus expands and slowly breaks the lining of the uterus. High-energy radio waves: In this procedure the doctor makes use of electrical mesh which is used to generate energy and heat. The energy is sent though strong radio waves which then further damage the lining and then the doctor removes with the lining with the help of the suction. Freezing: in this method the doctor makes use of a very thin probe with a very cold tip freezes off the lining of the uterus. The doctor may /
  3. Electrosurgery: This surgery is doen with the help of resectoscope. A resectoscope is a device whihc has an slender telescopic attached to a tube which is inserted into the uterus. The tube has an electrical wire loop, a roller-ball, or tip which is used to destroy the female internal reproductive organ lining. Generally this methodology is painful and thus requires anaesthesia and thus is usually finished in an operating theater.

Who is eligible for the treatment?(When is the treatment done ?)

The eligibility for the treatment for the disease can be best diagnosed by the specialist doctor. It is therefore advised that the patient consults the doctor before undergoing any specific treatment. Doctors on examining the conditions shall decide the eligibility for the treatment.

Who is not eligible for the treatment?

Endometrial ablation shouldn't be practiced on girls past menopause. It's not suggested in girls with the following medical conditions like :

  • Disorders of the uterus or endometrium
  • Cancer of the uterus
  • Recent pregnancy
  • Endometrial hyperplasis
  • Current or recent infection of the uterus

Are there any Side Effects?

These can be the side effects of endometrial ablation, wherein one should consult the doctorimmediately :

  • Strong-smelling discharge from your vagina
  • Fever
  • Chills
  • Intense cramping or stomach pain
  • Heavy bleeding or bleeding that doesn’t stop 2 days after your ablation
  • Trouble peeing

Endometrial ablation also has certain risks. There's a low risk of infection and bleeding. The device used might go through the female internal reproductive organ wall or intestine. With some strategies, there's a risk of burns to the vagina, vulva, and bowel. Rarely, the fluid used to expand your female internal reproductive organ during surgery is also absorbed into your blood. This condition may be serious. To forestall this downside, the number of fluid used is rigorously checked throughout the procedure.

What are the post-treatment guidelines?

Post treatment, one can expect to have some spotting or vaginal bleeding for 3-5 days. The discharge may last 3-4 weeks after an endometrial ablation or hysteroscopic resection. The patient should not have any heaving bleeding and the discharge should slowly taper off. If it increases, or the pain increases instead of improving, patient should consult the doctor. Avoid using tampons or douching and only use pads until the discharge stops. Also one should avoid sexual intercourse for 2 weeks after surgeryand should resume normal activitiesonly when they feel comfortable, usually in 24-48 hours. Tylenol, Motrin, Advil, or Aleve may be used for any discomfort as directed on the bottle.

How long does it take to recover?

The patients generally don’t take long to heal from an ablation. Most women are back to their normal routine within a week. They may have some cramping and bleeding for a few days and a watery or bloody discharge for up to 3 weeks. It’s also common to have nausea and an urge to pee for the first 24 hours. Also the doctor advice not to have sex, use tampons, or douche for a few days. They may also put limits on the patient’s activity, like not lifting heavy things right away. Also it’s not safe to take aspirin. It could make the patient bleed more.

What is the price of the treatment in India?

The cost of treatment for endometrial ablation in India can vary from INR 50,000 to as much as INR 5,00,000 depending upon the type of treatment and also the hospitals. For example, at Fortis hospital, the cost on average is INR 4,27,000 for the endometrial ablation.

Are the results of the treatment permanent?

The results of endometrial ablation don’t always last. After a few years, the patient’s may start to get heavier and longer periods again requiring the same or a different treatment again. Although the results vary from patient to patient.

What are the alternatives to the treatment?

Myomectomy

This is the surgical removal of the fibroids alone. It is done through associate abdominal operation, laparoscopically (entering through the navel), or via endoscopy (inserting a skinny, telescope-like instrument known as a hysteroscope through the vagina).

Uterine artery embolization (UAE), conjointly referred to as female internal reproductive organ fibroid embolization (UFE). This is often a reasonably easy, noninvasive procedure during which tiny particles are injected into the female internal reproductive organ arteries feeding the fibroids, keeping apart their blood supply.

Hysteroscopy

The insertion of a skinny, telescope-like instrument through the epithelial duct is used if the fibroid is primarily inside the cavity of the female internal reproductive organ.

Medical management

Painful symptoms of female internal reproductive organ fibroids will be at first treated with anti-inflammatory drug medicine (NSAIDs), like Motrin.

Popular Questions & Answers

I was on hrt (evatone2 & meprate) for last 1 years due to premature ovarian failure.(evatone for 21 days starting from 4th day of period and then meprate after 11 days). I stopped medicine 4 months back & did not get periods. Last month I started meprate twice for 10 days but even after 15 days did not get periods back. So now how and on which day should I start again my course of hrt (evatone2 and meprate) to start my periods? Can I start from tomorrow the full course again as I was taking earlier? Please suggest the course and when to start.

MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
As you said you don't have the ovarian reserve that is there is premature ovarian failure you need to have priming of endometrium with the estrodiol tablets prior to taking meprate.

I am on hrt (rvatone and meprate) for last 1 years due to premature ovarian failure. I stopped medicine 4 months back. So did not get periods. Last month I started meprate twice for 10 days but it has been even 14 days now but I am not having periods. How to start periods now?

MS OBG
Gynaecologist, Guwahati
Since you have premature ovarian failure, taking only meprate won't help unlike others who have anovulation. You need to take evatone along with meprate to get your periods.

I got operated of hysterectomy, that time they has cut small part of urinary bladder bag was sticked with ovaries (bag). There was stitches inside so for healing doctor gave me linid 600. Now when m going to pass my stool it is not able to come easily waste out. Doctor said because of antibiotics the veins of became thick of anus. It is true. Or it is ide effects of linid?

MBBS, M.D., Dip.in pelvic surgey,
Gynaecologist, Kottayam
Linid 600 is a powerful antibiotic .but it is not likely to produce constipation, you can take mild laxative to overcome this problem. Anyway it is better to see your doctor for final opinion.
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