Endometrial ablation procedures are performed to destroy the uterine lining to reduce heavy or prolonged menstrual bleeding. The procedure can be performed with several different methods, but there are several risks involved, including cancer. Endometial ablation research has been conducted by researchers from Johns Hopkins University (JHU), the American College of Obstetricians and Gynecologists and women's health care physicians around the globe.
Significance
Endometrial ablation treatments are designed to reduce or stop menstrual flow in women of all ages, and involves burning the tissue inside the uterus so that the menstrual cycle can no longer be completed. The procedure is typically performed on women who are past their childbearing years who are experiencing very heavy bleeding; however, younger women can still undergo this procedure, but may require a repeat procedure to completely stop their menstrual cycle. Research studies are designed to monitor the effects of the procedure, short-term and long-term outcomes of various types of treatments and assess the risks and benefits associated with endometrial ablation treatments.
Researchers
A number of research facilities and physician organizations are conducting research on the effects of current and prospective endometrial ablation procedures. Research teams include: Johns Hopkins University; the Mayo Clinic; NovaSure, the makers of endometrial ablation instruments; and the American College of Obstetricians and Gynecologists.
Types of Treatments Available
Endometrial ablation researchers have been studying the effects of several different treatments. Some procedures work better than others, but all of them have inherent risks. Types of treatments currently available in the United States include: laser thermal ablation; electricity using a resectoscope; freezing; microwave; radiofrequency; and saline with heat.
Effects of Treatment
Research suggests that those who undergo an endometrial ablation procedure will stop having periods or have them less frequently. The risk of pregnancy is slim to none after this procedure, because the lining of uterus is completely destroyed. In some cases, the menstrual cycle will continue for a few months after treatment, but will subside and disappear shortly after.
Risks
Endometrial ablation researchers study several effects and risks involved with the procedure. Common risks with today's procedure options include: perforation of the uterus; buildup of fluid in the lungs; blockage of arterial blood flow within the lung; thermal injury of the uterus or bowels; cervical lacerations. Women who plan to become pregnant should not undergo this procedure.
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