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Endometrial Ablation

Endometrial ablation, also called uterine electrocautherization, is a procedure that gently scarifies the lining of the uterus to prevent future menstruation. Patients avail themselves of this procedure for as treatment for abnormal menstruation.

In endometrial ablation, the gynecologist uses an hysteroscope (an endoscope that permits a view of the interior of the uterus) and a mesh-balloon-type device to deliver electro-thermal energy to the internal surface of the uterus. With this special equipment, the gynecologist gently cauterizes the internal lining of the womb so that it will no longer build up and shed every month. (This option is not appropriate for a woman who seeks future pregnancy.)

In a brief, controlled manner, the procedure burns away the uterine lining. Most patients are left completely and permanently free of monthly menses as a result, though the treatment is not fully effective for all patients. Those who do not respond to endometrial ablation may have endometrial tissue deeply seated in the uterine wall (adenomyosis) that is not amenable to the surface treatment provided by ablation.

Endometrial ablation serves as a newer type of treatment for abnormal uterine bleeding.

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