In a 1999 study, fertility was restored in more than half of women after the procedure. The chances for conception, however, had nothing to do with the number, size, or location of the fibroids, indicating that fibroids may have had little to do with infertility in the first place. Endometrial Ablation or Resection Standard Ablation or Resection Procedures. They are also not generally used in women who an abnormal uterine cavity that is either enlarged or disturbed by the presence of fibroids. However, there is some limited data supporting the use of balloon thermal ablation in women who already underwent hysteroscopic myomectomy for submucous fibroids.
Resection uses an electrosurgical wire loop to remove the lining.
With ablation, uterine tissue is usually vaporized using a thin powerful laser beam or high electric voltage. The procedure typically takes 15 to 45 minutes. Although a general anesthetic is usually required, the patient can go home the same day. Endometrial ablation uses hysteroscopy to view the uterine cavity. Visualization of the uterine cavity is made possible by filling the cavity with fluid.