The uterine ablation treatment takes only a few minutes and is usually performed with a local anesthetic. Similar to a Pap smear or pelvic exam, during your procedure, you recline on a treatment table. Your doctor begins by inserting a speculum to hold your vagina open to access your cervix for insertion of the ablation device. Once the device is in place, your doctor turns on the radiofrequency energy, which heats and damages your endometrial lining. After the treatment is complete, your doctor turns the radiofrequency energy off and removes the device from your cervix.