What are the pros and cons of a uterus ablation?

Women who wish to have children should not undergo uterine ablation.

Uterine ablation is a procedure in which the endometrial lining of the uterus is burned, frozen, or otherwise destroyed in an effort to stop excessive bleeding. There are pros and cons to this procedure that should be considered before performing a uterus ablation. The pros are that excessive bleeding stops, no hysterectomy is necessary, and the procedure can usually be performed on an outpatient basis. The cons are that pregnancy is contraindicated after the procedure, there are risks of bleeding not stopping, and there are risks of burns to the uterus or intestines during the procedure.

Women who have extremely heavy periods may opt for a uterus ablation.

The process of uterine ablation is actually endometrial ablation because it is the endometrial lining of the uterus that is destroyed during the procedure. This procedure is indicated for patients who have extremely heavy menstruation to the point of becoming anemic due to blood loss. It is considered an alternative to hysterectomy. It is not recommended for patients who wish to have children, who have significant cramping, who have uterine cancer, or who are post-menopausal. In some of these cases, a hysterectomy may be necessary.

The uterus is part of the female reproductive system.

There are many advantages to having a uterus ablation. If heavy bleeding is the only problem, avoiding a hysterectomy is a huge advantage of having an ablation. Keeping the uterus and ovaries intact means that the hormonal systems are also intact. Excessive bleeding is also stopped with ablation so that anemia is treated definitively. Finally, the procedure can be done in a doctor’s office or operating room on the same day, which makes it much easier on the body compared to the intensive surgery that a hysterectomy would require.

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The endometrial lining of the uterus is destroyed during ablation of the uterus.

While uterine ablation is a great alternative to hysterectomy, there are some disadvantages that should be considered before proceeding. Pregnancy is a big risk after an ablation procedure because any pregnancy can end in miscarriage or in danger to the mother. There must be some other form of birth control besides ablation, because pregnancy is a very high risk. The dangers of the procedure itself are burns to the uterus and intestine by the mechanism used during endometrial ablation. There have also been reports of the endometrial lining growing back and bleeding continuing as heavily as before despite the procedure.

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