Endometrial ablation is surgery to remove the endometrium. The endometrium is the lining of the uterus. The goal of endometrial ablation, also known as uterine ablation, is to treat abnormally heavy menstrual bleeding. Are There Other Treatment Options? In most cases, doctors recommend less invasive treatments to treat abnormal menstrual bleeding. Less invasive treatments include oral medicines and hormones, and hormonal intrauterine devices (IUDs). Ask your doctor about all of your treatment options and consider getting a second opinion before deciding on surgery. When to Consider Endometrial Ablation You may want to consider surgery for severely heavy or prolonged menstrual bleeding that is diminishing your quality of life. Your doctor may decide that you are a good candidate for endometrial ablation if: The bleeding is not due to cancer, large polyps, or large fibroids. You are premenopausal. You no longer want to have children. You want to keep your uterus and avoid more invasive surgery such as a hysterectomy. Nonsurgical management, like medicines and hormones, hasn’t worked. Who Is NOT a Good Candidate for Endometrial Ablation? You may not be a good candidate if: You are past menopause. You still desire to bear children in the future. You have a current or recent uterus infection. What to Expect An obstetrician-gynecologist (Ob/Gyn) performs endometrial ablation through the vagina. It does not involve an incision. You will have general or local anesthesia, and you will go home the same day of surgery. Most women return to their usual activities within a day or two. This means you may need help with household, work, and other daily activities for a short time. You may have discomfort for a few days after surgery, including cramping, nausea, frequent urination, and a watery, bloody discharge. It can take several months to see the full effects of endometrial ablation.