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

Hi doctor. I am 33 years old and I have been suffering from the problem of heavy bleeding for the past few months. Doctor please tell me if I undergo treatment for this, will it be a permanent cure?

Gynaecologist, Hyderabad
The result totally depends upon the treatment that you opt for, like if you go for hysterectomy you will never even experience the menstrual cycle again and other treatments are temporary.

I had surgery to remove the uterus because the lining of the uterus is thick and that was about a year ago and I suffer from pressure and diabetes and now I am taking medicines such as ulgar 1 g, motilium, micardis80/12.5 and nexium40 and this rash appeared in my stomach and accompanied by fever, stomach fluctuations, and the second day, all of this went away and the rash remained. I am 47 years old, my weight is 110 kg and my height is 150 cm.

M.B.B.S, Post Graduate Diploma In Maternal & Child Health
Gynaecologist,
Rash is because of the fever. If there is no itching and if the rash is not increasing then do not worry. It should subside within 2 to 3 days. If it does not then you should seek medical advice. As uterus has been removed be careful about your di...

Sir good afternoon I am susmita samaddar from breast kolkata. I have a cyst on ovary and polyp and cyst inside my uterus. Can I be done hysterectomy. On warfarin 6 mg.

Gynaecologist, Jammu
Hello, yes I can go for hysterectomy but alongside if you are taking warfarin you need to maintain inr for surgical procedure if it is normal in range you can go for surgery.

Im having heavy periods for quite some years but they would end up within 3 days so nothing was out of the normal .but recently an enlarged uterus with a heterogeneous myometrium was found. I have an intramural fibroid measuring 2 cm and a nabothian cyst around the cervix. Also my ovaries are enlarged measuring 4 cm with numerous tiny follicles. Dr. has advised vaginal hysterectomy. Should I go for it or should I opt for abdominal hysterectomy? Im 49 years old.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
First whether you need or not is important, then comes question of procedure- vaginal, abdominal or laproscopically. To decid whether you need or not most of the medical problems need personally taking detailed medical history and examination with...
1 person found this helpful
Popular Health Tips

Bleeding Problems - Know The Common Types!

MBBS
IVF Specialist, Raipur
Bleeding Problems - Know The Common Types!
Vaginal bleeding is a common phenomenon in women. Sometimes it is due to cyclical changes in the cycle, while other times, it may be indicative of something unnatural and perhaps severe. Abnormal vaginal bleeding includes: Heavy periods: This is a...
6574 people found this helpful

Surgery For Womb Removal - What You Need To Be Aware Of?

MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Thane
Surgery For Womb Removal - What You Need To Be Aware Of?
A hysterectomy is an operation to remove the uterus and, usually, the cervix. The ovaries and tubes may or may not be removed during this procedure, depending on the reasons for the surgery being performed. If the ovaries are removed, you will com...
3218 people found this helpful

Uterine Fibroids - Types & Diagnosis Of It!

MBBS, MD - Obstetrics & Gynaecology, Diploma in Reproductive Medicine & Embryology, Fellowship in Gynaecology Endoscopy, certificate of achievement in aesthetic and functional gynecology 2018
Gynaecologist, Raipur
Uterine Fibroids - Types & Diagnosis Of It!
Uterine fibroids are benign tumours that develop within the uterus during a woman s reproductive years when the levels of oestrogen hormone are high. These are usually seen developing between 16-50 years of age and affect nearly 30% of all women b...
3989 people found this helpful

Premature Ovarian Failure - Know More!

MBBS, DNB - Obs & Gynae, Diploma In Reproductive Medicine (Germany), Fellowship In Laparoscopy, Fellowship in Reproductive Medicine & ART, Hysteroscopy advanced traraining training
IVF Specialist, Delhi
Premature Ovarian Failure - Know More!
Premature ovarian failure or POF refers to the loss of normal functioning of the ovaries before the age of 40. Since the ovaries do not produce sufficient amounts of oestrogen hormone or release ova regularly, the condition often leads to infertil...
2605 people found this helpful

Colposcopy & Treatment Of CIN!

MBBS, MD - Obstetrtics & Gynaecology, DNB (Obstetrics and Gynecology), Colposcopy Training
Gynaecologist, Raipur
Colposcopy & Treatment Of CIN!
Cervical cancer is one of the most common conditions to affect women in the world. However, with care, you and your doctor can easily prevent it from affecting you. Preventive measures include prevention of HPV and conduction of screening tests. C...
4735 people found this helpful
Content Details
Written By
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Gynaecology
Play video
Minimally Invasive Surgery In Gynaecology
Hi, I am doctor Uddhavraj Dudhedia. I am a gynecologic, endoscopic, robotic oncosurgeon. Gynaecology has specialised into a lot of superb specialities and right from the beginning my area of interest was minimally invasive surgery, so many women w...
Play video
Know More About Infertility
Hello, Today we are going to discuss what exactly is infertility and what are the causes behind it? and basically in today's topic we are going to discuss the causes in women which are responsible for her being infertile or we call it subfertile. ...
Play video
Endometriosis - A Brief On This
Hello everyone, I am Dr. Anu Sidana, obstetrician and Gynecologist, Aastha Medicare. Today I am going to speak about endometriosis. What is endometriosis? it is a painful disorder in which the cyclical period it becomes painful, tissue that involv...
Play video
Myths And Facts About IVF
Hi, I am Dr. Garima Sharma, Gynaecologist. Today I will talk about the myths and facts of IVF. I will cover certain topics. What exactly is the IVF? Who requires IVF? Are there any side-effects associated with it? What are the success rates? Is th...
Play video
Laparoscopic Hysterectomy
Hello! I am Dr. Neelima Mantri, masters in obstetrics and gynaecology. I am a consultant and laparoscopic surgeon at Bombay hospital and medical research centre and Nanavati hospital. I have done a fellowship in minimally invasive surgery at Eva W...
Having issues? Consult a doctor for medical advice