Because there is a chance that some women will have a hysterectomy at some point after endometrial ablation, many patients wonder if they should skip the minimally invasive procedure and simply put an end to their periods once and for all. This is a personal choice, but it's one that should be made with considerable exploration of the pros and cons of each approach to heavy menstrual bleeding.
Endometrial ablation is used to treat heavy menstrual bleeding, bleeding in between periods, or prolonged periods. It may also be advantageous for women who've developed anemia as a result of heavy periods. Hysterectomy surgery can address these problems and many more, including various cancers. When comparing these two treatment options for the purpose of ending heavy menstrual bleeding, we look at the complexity of the procedure itself, the potential surgical outcome, and the amount of time and degree of risk involved in recovery.
Side by side, hysterectomy and endometrial ablation have quite a few differences. Hysterectomy is a more invasive procedure and is considered a major surgery. This means there are higher risks associated with it and more downtime. That said, heavy menstrual bleeding is eliminated because menstruation stops. Depending on the circumstances, though, it may be necessary to take hormone therapy for up to several years after the uterus is removed. Endometrial ablation isn't designed to stop menstruation, although sometimes this does happen. Performed using minimally invasive techniques, ablation requires little downtime and harbors fewer risks.
If you're questioning which procedure is right for you, consult with an experienced OBGYN. Here in our McKinney, TX practice, you can expect to receive a thorough explanation of recommended procedures, helping you make a confident decision about your treatment of choice.