Before my hysterectomy, I was also given the option for endometrial ablation:

Endometrial ablation is a minimally invasive, day-surgery procedure that destroys the uterine lining (endometrium) to treat heavy menstrual bleeding. Using heat, cold, or radiofrequency energy, it often results in significantly lighter periods or amenorrhea (no periods). It is not for women who want future pregnancies. 

Key Aspects of Endometrial Ablation

Purpose: Primarily treats menorrhagia (excessive bleeding) that does not respond to medication.

Procedure: A thin instrument is inserted through the cervix into the uterus, where energy (radiofrequency, freezing, or heat) destroys the lining. It is generally quick, often taking only 1–2 minutes, and involves no incisions.

Effectiveness: Up to 90% of women are satisfied, with 50% experiencing no periods at all.

Recovery: Most patients go home the same day and may experience mild cramping for up to 48 hours.

Fertility: While it is not a form of sterilization, pregnancy after ablation is dangerous (high risk of miscarriage). Effective contraception or permanent sterilization is still required.

Complications: Rare but possible, including uterine perforation, infection, or bleeding. 

When it is Used

For premenopausal women with heavy, non-malignant bleeding.

When medical management (e.g., Mirena IUD, medication) has failed.

For those who have completed their family.

When a hysterectomy is not desired or considered too risky. 

What to Expect Post-Procedure

Lighter, lighter, or absent periods.

Possible light cramping and bleeding for a few days.

High satisfaction rates, though in about 10% of cases, further treatment (like a hysterectomy) may eventually be required. 

 

This could be an option to consider (maybe along with tubal ligation?) if a hysterectomy is not viable? 

Either way, I believe we need to be informed of all our options to be allowed to make the best choice for OUR bodies!

https://www.change.org/let_women_choose

Thank you! Appreciate you!

Lisa Welke