Alternative to Hysterectomy for Heavy Periods

Several years ago a more conservative alternative to hysterectomy was developed for women whose only complaint was heavy periods. After confirming that the patient has no evidence of cancer or pre-cancer changes, the endometrium (or inner lining of the uterus, which is shed with each menstrual period) is destroyed in the operating room with a procedure called endometrial ablation.

In the beginning, ND:Yag laser was used for this purpose; later cautery with a “rollerball” (much like using a lawnmower to roll over the endometrium a row at a time) was developed. With safety as the major focus, other methods of ablation have been developed; other forms of energy have been used to destroy the endometrium. Microwaves, heated water, and electricity (cautery), among others have proven to be easier and safer to use. >learn more