Endometrial Ablation: What to Expect

Prior to Surgery

  • Some women undergo medical or hormone therapy prior to the procedure to thin the endometrial lining and achieve better results.
  • You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), Clopidogrel (Plavix), warfarin (Coumadin), and other blood thinners.
  • Ask your doctor which drugs you should still take on the day of the surgery.
  • Discuss any possible bleeding disorders or other medical conditions that you may have.
  • You will have blood samples taken in case you need a blood transfusion.
  • Do not smoke. This will help you to recover quicker.

On the Day of the Surgery

  • You will usually be asked not to drink or eat anything after midnight the night before the surgery.
  • Take the drugs your doctor told you to take with a small sip of water.
  • Your doctor or nurse will tell you when to arrive at the hospital.

After Surgery

  • Most patients can go home the same day.
  • You may have some abdominal cramping, nausea and increased urination.
  • Walking is encouraged, based on your energy level.
  • This surgery has a quick recovery with most patients feeling much better within the first few days after surgery.

Recovery: what to expect in the next few weeks

  • Some women have some water discharge with some blood for a few weeks with it being heavy at first and then diminishing over time.
  • Most women feel better within the first week following surgery; however, do not lift, push or pull any heavy objects for a couple of weeks.
  • Do not resume sexual intercourse until your doctor says it is OK.
  • Full recovery takes about two weeks to allow for internal healing.

Endometrial Ablation Q&A

What does endometrial ablation involve?

A patient is either lightly or fully sedated. The gynecologist dilates the cervix and runs a light into the area to visualize the endometrius. At that time, either part or all of the lining can be removed.

How many incisions are made?

No incisions are made on the outside since the procedure is done via the vagina. Internal stitching is done in the area where the endometrial lining is removed.

How long do I stay in the hospital?

Patients will normally be able to go home the same day, but in some cases, there may be an overnight stay.

What is the recovery time?

Most patients are fully recovered in two weeks. If a patient has a physically demanding job that requires lifting or pushing heavy objects, check with the doctor before returning to work.