Endometrial Ablation

Anemia, or feeling tired with lack of energy, is often a result of heavy periods

When women have significant bleeding, or very painful periods, a thorough workup needs to be performed, and a stepwise treatment plan will be tailored to your needs by your midtown manhattan gynecologist. One of the options available is an endometrial ablation, which means the destruction of the inner lining of the uterus. The inner lining of the uterus, endometrium, is essentially a layer of glands that grow every month in preparation for menstruation, or the bleeding you experience during your period. Sometimes, however, that bleeding can be excessive causing disruptions in your life during your period, or even afterwards if you experience anemia due to the loss of blood.
Gynecologist of Manhattan Women’s Health & Wellness offer comprehensive Obstetrics & Gynecology care in NYC for women of all ages. At our ob-gyn clinic we provide a full range of gynecology services, from annual check-ups and routine pap smears to endometrial ablations and gyn procedures, surgeries performed in our office or in the hospital. Our state of the art gynecology NYC facility equipped with the latest obgyn equipment

Reasons to have an Endometrial Ablation

Endometrial ablations are done for several reasons, the main symptoms that may lead your doctor in midtown to inform you about an ablation is if you experience some of the following:

• Heavy bleeding during your menses that disrupts your everyday life, especially if it is more than 2 pads an hour during your periods
• Heavy bleeding that causes you to be anemic (have low blood counts) which can lead to chronic fatigue, generalized tiredness, and low energy
• Periods that last longer than they should

Endometrial ablations are great procedures that can help you reduce how much you bleed on your menses until menopause

Before an endometrial ablation is done it is always important to do a thorough investigation by a trained gynecologist to figure out why the bleeding is happening. Your gynecologist in Midtown, NYC will not be able to perform an endometrial ablation if you have a current infect, cancer, or some abnormalities that affect the structure of the uterus so they will need to make sure you have none of these prior to performing the ablation

The procedure

There are several ways to perform an endometrial ablation. Depending on the workup leading to the decision to perform an ablation, and after explaining the risks of perforation, continued bleeding, pain, infection, damage to surrounding organs such as bowel or bladder, and potentially need for further surgery such as hysterectomy, your gynecologist will discuss which method for ablation will suit you best including the following:

• Radiofrequency ablation, one of the most common such as NovaSure ablation, due to its length, success rates, and safety profile. This procedure uses a small device (array) that runs radio waves through the device causes excess heat in order to vaporize the glands during an ablation
• Hydrotherm ablation instills hot water within the uterus to destroy the lining of the uterus. This procedure takes much longer than other forms of ablation, however the water is able to contour better to abnormalities of the uterus
• Microwave ablation uses exactly that, microwaves of energy to cause internal heating of the glands that lead to their destruction
• Electrosurgical ablation, this uses a small scope and device with an electrical current running through the device in order to destroy the glands or endometrium of the uterus

After the Procedure

Generally these procedures may safely be performed in the office and you can choose to be asleep, in which you would feel nothing during the procedure. The procedure is outpatient and you will be able to go home after a short recovery period in the office. You may experience cramping and slight burning sensation in the pelvis for a few days after. Pain medications your doctor will give you can help you be comfortable during this time. Generally you can expect to start feeling better less than a week after the procedure and go back to most of your normal activities at that time also.

The one caveat to the procedure is that you are finished with child bearing as endometrial ablations due decrease fertility. They also increase the chance that if you do somehow conceive after one, you may have an ectopic, or pregnancy in an unsafe location such as the cervix or fallopian tube. For this reason it is recommended to either have a tubal ligation before or after the procedure, or use some form of contraction until menopause.

The effects of the ablation aren’t generally instant however. Some women will notice minor cramping and spotting after the procedure for a few weeks that gradually reduces in quantity and frequency, but it may take a few months before the desired goal is reached

Important Reminder: This information is only intended to provide gynecology guidance, not definitive medical advice. Please consult OBGYN doctor about your specific condition. Only a trained, experienced gynecologist or certified gynecology specialist can determine an accurate diagnosis and proper treatment.

Have questions about Endometrial Ablations? Schedule an appointment with the best OBGYN in Manhattan, Dr. Fernando Mariz by calling our office today

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