Q: Are there surgical treatment options for heavy menstrual bleeding other than hysterectomy?

A: Yes. Endometrial ablation is an outpatient procedure with a high patient satisfaction.

Q: Who are ideal candidates for an endometrial ablation?

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

• endometrial hyperplasia (a precancerous condition of the uterus)
• cancer of the uterus
• recent pregnancy
• current or recent infection of the uterus

Pregnancy is not likely after ablation, but it can happen. If it does, the risk of miscarriage and other problems are greatly increased. If a woman still wants to become pregnant, she should not have this procedure. Women who have endometrial ablation should use birth control until after menopause. Sterilization may be a good option to prevent pregnancy after ablation.

Q: What exactly is an endometrial ablation?

A: An endometrial ablation is an outpatient procedure that uses energy to remove the uterine lining. It is associated with a quick recovery. Women are able to return to work and regular activities quickly. After the procedure, greater than 90% of women will report that their menses will returned to normal or lower than normal levels of flow. Some women's menses will completely stop. It is not a contraceptive procedure. It often will reduce menstrual associated symptoms such as cramps, fatigue and PMS. It is not recommended for women who desire a become pregnant in the future.

Q: Are there different procedures for performing an endometrial ablation?

A: Yes. There are several different medical devices to accomplish an endometrial ablation. Novasure® and Thermachoice® are two of the more commonly used devices. Each device has specific advantages and disadvantages. If you are interested in more information about endometrial ablation, you should discuss your treatment options with your doctor.