Hysteroscopy is often performed to evaluate the inside of the uterus. It is very helpful to evaluate bleeding abnormalities. It takes only a few minutes and may involve mild discomfort. It is perfomed in the office with local anesthesia. A thin tube with a video camera is passed into the uterus to see inside.
Endometrial sampling (endometrial biopsy) is recommended whenever a woman over thirty-five has abnormal bleeding. It may also be performed when abnormalities are found with ultrasound or hysteroscopy. A small plastic tube, similar in size to a coffee stirrer, is inserted into the uterus to obtain a sample that can be sent to the laboratory to check for abnormal cells. There is no “cutting.” It may cause some mild short-lived cramps for a few minutes and could result in spotting afterwards.
Endometrial Ablation is a very successful minimally invasive treatment for excessive menstral bleeding. This procedure uses heated sterile water inside the uterus to create controlled scalding to the layer that creates heavy periods. Endometrial Ablation procedures take 15 minutes and are done either in the office with local anesthesia or at an outpatient surgery center. Patients return to regular activities the following day.
Women who have an ablation must have completed childbearing and want permanent control of their bleeding. A pelvic exam, ultrasound, hysteroscopy and endometrial biopsy are done to determine if a women is a candidate. This procedure is successful in reducing or stopping the flow 85% of the time, preventing the need for a hysterectomy.
During the procedure, the doctor passes a thin catheter through the vagina and cervix. This catheter is used to treat the endometrial lining of the uterus with heat. The uterus will later shed the endometrium.
We are experienced in the new endometrial procedures. We are now offering endometrial ablation in our office by the Thermachoice Balloon procedure