Office

2828 Maplewood Ave., Suite B

Winston Salem, NC 27103

Office: (336) 794-1444

Fax: (336) 794-1477

Hours of operation:

8:30 a.m. to 4:30 p.m.

Monday through Thursday.

8:30 a.m. to 2 p.m.

Friday

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Endometrial Ablation

Ablation or destruction of the lining of the uterus is a relatively old procedure I learned early in my residency. In my hands, the technique did not offer the success rate I felt was worth the expense, time out of normal activity and long term effectiveness I feel my patients are looking for. Today’s new ablations technology has dramatically improved the percentage chance for lessening menstrual flow considerably and in many patients eliminating it altogether. This procedure is especially great for the “perimenopausal” female that experiences worsening periods as she nears that time when she can look forward to no more periods at all! Performing an ablation is designed for women who have completed their childbearing and wish to attempt to avoid hysterectomy.

I use a bipolar energy source which is delivered by a device which looks very similar to a tampon. It is adjusted to the size and contour of the inside of the uterus. The inside of the uterus is generally evaluated with a hysteroscope to ensure no unexpected sources of pathology are present immediately prior to the procedure. A safety mechanism ensures that no leaks are present in the system which could indicate spread of the energy outside of the lining of the uterus which could potentially damage surrounding tissue. If this test is passed, the current is delivered to the uterine lining or endometrium. Treatment is completed in less than 2 minutes. Bleeding and discharge is expected for the next 2-3 weeks and discomfort includes moderate cramping for a day or two following the procedure. It takes 3-4 months to establish the results. Greater than 50% of patients note greatly improved or no further menstrual flow. While patients with fibroids are candidates for this procedure, complete success (cessation of all menstrual flow) may be lower.