After we have diagnosed a benign cause of your heavy and/or irregular bleeding, you may choose to have an endometrial ablation. An endometrial ablation can be done in the office with a paracervical block and intravenous sedation. If you are having sedation, you can not have anything to eat or drink from midnight the night before your procedure. You will meet with the anesthesiologist in the office before the procedure. You will be asleep before a speculum is placed.
Dr. Schapiro will place an appropriately sized speculum and numb your uterus. She will stabilize your cervix with an instrument called a tenaculum and then introduce a camera through your cervix and into your uterus. Then, the ablation will be performed. The entire procedure takes only a few minutes. All instruments are then removed and you will have time to recover before going home.
Someone will need to bring you to the office, bring you home and care for you for the remainder of the day.
An endometrial ablation is only an option if you do not plan to be pregnant in the future. It is not contraception but pregnancy is contraindicated after an ablation.