An endometrial ablation is a procedure that can be performed in a doctor’s office to treat abnormal uterine bleeding by destroying the lining of the uterus, or endometrium. The procedure involves inserting a device into the uterus through the cervix and using different methods to damage the lining. The device used in the office is the Minerva.

The doctor inserts a silicone mesh into the uterus that delivers focused heat energy to the endometrial tissue. The mesh conforms to the interior contours of the uterus for consistent application of heat energy throughout the endometrium.

The procedure is usually performed under local anesthetic or pain medication and takes only a few minutes. After the procedure, the endometrium will form scar tissue over the next few weeks, preventing it from shedding.

Some patients report cramping, a watery blood-tinged discharge and more frequent urination. This discharge can be heavy for about two to three days post procedure. You should expect to go back to work or resume daily activities within a day or two. It can take a few months to get the full benefits from this procedure.

After your ablation it is not likely that you will be able to get pregnant. Women who still wish to become pregnant will need to speak to their provider and are usually advised against this procedure. There is an increased risk of miscarriage after an ablation, so women should use birth control or consider sterilization.