Only women no longer desiring to have children are treated in this manner. Once the lining cells of the uterus are destroyed by the procedure, there is no place for a developing fetus to attach within the uterus. If some cells remain following an endometrial ablation, there exists the possibility of pregnancy occurring. If pregnancy were to occur, termination would most likely be recommended as doctors are concerned that without adequate cells lining the inside of the uterus, the placenta would grow directly into the muscle wall of the uterus and take hold like the roots of a tree. As a result, the placenta would not be able to separate at the time of delivery, and hemorrhage could occur. This procedure is not a form of birth control and another method of birth control must still be used to avoid pregnancy.
Some of the different methods used to perform endometrial ablation are: Laser, Rollerball, Balloon, Microwave, Cryoablation, NovaSure, Cavaterm, and Hydrothermal Ablation System.
Endometrial ablation may be done in an outpatient facility or your doctor's office. The procedure can take up to about 45 minutes. The procedure may be done using a local or spinal anesthesia. General anesthesia is sometimes used. Most women are able to go home within a few hours after an endometrial ablation. The recovery process will vary depending upon the type of ablation performed and the type of anesthesia that was administered. It is normal to have vaginal bleeding for a few days after the procedure. You may also have a watery-bloody discharge for several weeks.