Endometrial Ablation

This procedure typically takes less than 30 minutes, and you’ll either be given a local anesthetic, sedation, or light general anesthesia depending on the setting and approach. Using a small instrument inserted through the cervix, your provider applies heat, cold, or radiofrequency energy to remove the uterine lining—no incisions required. You may feel some mild cramping, similar to period pain.

Most people go home the same day as the procedure and return to their usual routine within a day or two. Some light cramping, spotting, or watery discharge is common for a few days. Your provider will let you know when to resume sexual activity and tampon use, and when to schedule a follow-up. Many patients notice a lighter period—or no period at all—within a few months after the procedure as the body adjusts.

Many people have significantly lighter periods or no periods at all after ablation, but results will vary. Some may continue to have light or irregular bleeding.

No. While pregnancy is less likely after ablation, it’s still possible—and can be risky. You’ll need to use birth control if you're not in menopause and wish to avoid pregnancy.

You may be a good candidate if you have heavy periods that haven’t improved with medication and you’re done having children. Your provider will evaluate your health and uterine anatomy first.

You may feel mild cramping during or after the procedure, but most patients find the discomfort manageable. Anesthesia or sedation options help keep you comfortable.

Most patients return to normal activities within 24–48 hours. For a few days, you might experience mild cramping, spotting, or watery discharge.

As with any procedure, there are some risks—such as infection or injury—but complications are rare. Your provider will review the risks and answer any concerns you may have.

In most cases, yes—especially if it’s medically necessary. WomanCare can help you check your coverage and understand any costs ahead of time.

Many endometrial ablation procedures are done in-office with minimal downtime, depending on your needs and the method used.

If bleeding continues or symptoms return, other treatments—such as hormone therapy or hysterectomy—may be discussed. Your provider will work with you on the next best steps.