Hysteroscopy and Endometrial Ablation
Hysteroscopy and endometrial ablation combine an examination of the inside of the uterus with treatment for heavy periods. A thin camera is passed through the vagina and cervix to assess the uterine cavity before the lining is treated. The aim is to make periods significantly lighter and, in some cases, stop them altogether.
When the Procedure May Be Recommended
This combined approach offers several advantages:
Minimally invasive treatment
No abdominal incisions
Short procedure time
Day-case surgery
Rapid recovery
Significant reduction in menstrual bleeding
Because hysteroscopy allows the uterus to be visualised first, the procedure can also identify and treat minor abnormalities during the same treatment session.
Endometrial ablation is typically recommended for women who experience:
Heavy menstrual bleeding (menorrhagia)
Prolonged periods
Bleeding that interferes with daily activities
Anaemia related to heavy periods
Symptoms that have not improved with medication
This procedure is generally suitable for women who do not plan future pregnancies, as pregnancy after ablation can carry significant risks.
What to Expect
Consultation, assessment and planning
Your treatment journey begins with a consultation with Mr Richard Flint, who will review your symptoms, discuss treatment options, and determine whether endometrial ablation is appropriate.
The operation
Hysteroscopy and endometrial ablation are usually performed as a day-case procedure, often under general anaesthesia. The treatment typically takes around 20–30 minutes.
A hysteroscope, a thin telescope with a light and camera, is gently passed through the vagina and cervix into the uterus. This allows the uterine cavity to be examined directly on a monitor.
Once the uterine cavity has been assessed, endometrial ablation is performed. This treatment removes or destroys the endometrial lining, which is responsible for menstrual bleeding.
Recovery
Most patients return home the same day. After the procedure, it is normal to experience:
Mild cramping similar to period pain
Watery or light blood-stained discharge for several days
Most women can return to normal activities within a few days.
Many women experience significantly lighter periods, and some may stop having periods altogether. The full benefits may take a few months to become apparent.
Frequently Asked Questions
Will my periods stop completely?
Some women stop having periods after endometrial ablation, while others notice a significant reduction in menstrual bleeding.
Can I become pregnant after endometrial ablation?
Pregnancy is not recommended after this procedure and can carry risks. Reliable contraception is usually advised if pregnancy is still possible.
Are there risks?
Endometrial ablation is generally safe. As with any procedure, rare risks include infection, bleeding, or injury to surrounding tissues.
For women struggling with heavy or prolonged periods, hysteroscopy with endometrial ablation can provide a safe and effective solution. Careful assessment by an experienced specialist ensures the most appropriate treatment plan.
Consultation with Mr Richard Flint can help determine whether this minimally invasive treatment is suitable for your symptoms and long-term health.