Endometrial Ablation

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Endometrial Ablation Treatment for Myoma (Uterine Fibroid)

Endometrial ablation is a modern and reliable treatment method performed by our doctor to control excessive menstrual bleeding by targeting the inner layer of the uterus. You may have been struggling with this problem, which directly affects your quality of life, for many years, and you may be restricted in your social, work, and personal life due to heavy bleeding that negatively affects your daily life. Thanks to this procedure, your menstrual bleeding will decrease significantly, and in some cases, it will disappear completely, allowing you to open the doors to a freer and healthier life.

This procedure is one of the most effective treatment methods for myoma. Also this method is particularly suitable for women who experience heavy bleeding during their menstrual periods, suffer from anemia, haven’t benefited from medication for an extended period, and wish to resume their daily activities. If you have become dependent on medication to control your menstrual bleeding or are experiencing severe symptoms requiring regular blood transfusions, endometrial ablation performed by our surgeon with a professional approach may be the right option for you.

There is a specific preparation process before starting myoma treatment. First, we thoroughly assess your medical history and current health condition, perform the necessary ultrasound scans, examine the structure of your uterus, and determine the most appropriate timing for the procedure. Our doctor will explain to you in detail what to pay attention to before the procedure, which medications you can continue to take, and which ones you should stop taking.

Our specialist performs the procedure itself quickly, effectively, and safely. To reach the inner lining of the uterus, the doctor uses special devices to destroy the tissue on the inner surface of the uterus in a controlled manner using heat, microwave, or radio frequency energy. This eliminates the primary cause of excessive bleeding during menstruation. During the procedure, you will be under general anesthesia for your comfort and will feel no pain or discomfort. Thanks to the experience of our skilled surgeon, the procedure typically completes in a short amount of time.

The recovery process is also relatively fast. Most patients return to their daily lives within a few days after the procedure, and may experience mild cramps or spotting. However, these are temporary effects and usually disappear within a short time. We will explain in detail what you need to pay attention to after the procedure and which activities you should postpone for a short time. Following our doctor's recommendations will make your recovery process easier and more comfortable.

Endometrial ablation results are highly successful in the majority of women who experience excessive bleeding. In most patients, bleeding decreases significantly, while in some patients it disappears completely. This helps you avoid the risk of anemia, eliminates the need for medication, and most importantly, improves your quality of life. The cost of endometrial ablation may vary depending on the technology used by the specialist, the patient's needs, and the details of the procedure.

Who are the Ideal Candidates for Endometrial Ablation?

Endometrial ablation is unsuitable for everyone, but it is incredibly successful and provides long-term results for women meeting specific criteria. If you fall into one of the following groups, this treatment may be the right option for you:

  • Small myomas close to the inner lining of the uterus: If the fibroids are located close to the inner lining of the uterus and cause excessive bleeding, this procedure removes this layer and significantly reduces bleeding. This way, you will be relieved of the heavy blood loss caused by fibroids.

  • If medication has been ineffective: If you have been trying hormonal treatments, birth control pills, or other medical approaches for a long time without achieving a permanent reduction in bleeding, this myoma treatment method offers you an effective solution without medication.

  • Anemia: If you have been experiencing anemia, fatigue, constant tiredness, dizziness, or shortness of breath due to excessive menstrual bleeding for a long time, and this condition seriously affects your quality of life, treatment can restore your health and energy.

  • Limited social life: If you are canceling travel plans, experiencing poor performance at work, or even having to postpone daily activities due to heavy bleeding, this procedure can help you plan your life freely again.

  • If you have completed childbearing: If you have completed your fertility plans and don’t intend to become pregnant in the future, this method, which targets the inner lining of the uterus, is one of the most appropriate and reliable solutions for you.

What are the Risks of Endometrial Ablation?

As with any medical procedure, endometrial ablation also carries certain risks, and you must be well-informed and take conscious steps throughout the process. We always provide detailed information, clearly explaining all possible risks before starting treatment, and ensure that you make a fully informed decision. Take a look at the general risks of endometrial ablation:

  • Although sterile conditions are ensured during the procedure, there is a possibility of infection as the doctor enters the uterus. In such a case, you can control the problem in a short time by taking the appropriate antibiotic treatment as directed by our doctor.
  • In the first few days after the procedure, you may experience more intense cramps or pain than usual, but these effects are usually short-lived and can be easily controlled with painkillers recommended by our doctor.
  • You may experience watery or bloody discharge for a few weeks after the procedure, which is a regular part of the healing process. However, if this persists longer than expected, you should contact our doctor immediately.
  • Although it is rare, the devices used by the specialist during the procedure may cause a small perforation in the uterine wall. If you experience this, our surgeon will intervene quickly to make the necessary repairs and ensure the process is managed safely.
  • After the procedure, your menstrual bleeding may stop completely or decrease significantly. Irregularities may occur in some patients, and this condition is managed under the supervision of our surgeon.
  • The procedure doesn’t eliminate fertility, but subsequent pregnancies may be high-risk due to changes in the inner lining of the uterus. Therefore, the procedure may not suit you if you haven’t completed your family planning.
  • The energy methods used rarely cause damage to surrounding tissues. However, this risk is minimal thanks to our surgeon's experience and modern technology.
  • While you can expect a significant reduction in bleeding after the procedure, in some cases, the results may not be as successful as expected, and additional treatments may be necessary. We will not leave you alone in such a situation; we will offer you different options.
  • If excessive bleeding has been a part of your life for many years, the change in your menstrual cycle after the procedure may cause different emotional reactions.

How Do You Prepare for the Endometrial Ablation Procedure?

When you decide to undergo endometrial ablation, you need to plan the day of the procedure and the preparation process beforehand. The more complete and conscious you are during the preparation phase, the greater the benefit you will get from the procedure. Here are the most essential points to consider during the preparation process before the procedure:

  • Medical evaluation: You will undergo a detailed gynecological examination before treatment. Our surgeon will examine your uterine structure, perform ultrasound imaging, and determine whether you are a suitable candidate for the procedure. Our doctor will clearly share all the results with you at this stage.
  • Transfer of medical history: You should provide our doctor with complete information about your medications, past surgeries, and current health issues to minimize any risks during the procedure.
  • Medication adjustments: If you are taking blood thinners or hormonal medications, our doctor will explain in detail which ones you should stop taking and which ones you should continue before the procedure.
  • Fertility planning: If you are considering having children in the future, this procedure may not be suitable for you. Therefore, it is essential to discuss your fertility plans with your doctor.
  • Preparation of the uterine lining: You may need to take medication to thin the uterine lining before the procedure.
  • Planning your menstrual cycle: The most suitable time for the procedure is usually immediately after your menstrual period. Our doctor will determine the most appropriate date on your calendar.

Endometrial Ablation Procedure Steps

Thanks to our surgeon's expertise and advanced technology, we perform this procedure safely and comfortably. We provide you with detailed information about all stages of the procedure beforehand. This way, you know what to expect and can prepare for the procedure without any worries. Here are the steps of endometrial ablation:

  • Anesthesia

You will not feel any pain or discomfort during the procedure because our doctor will administer general anesthesia. This ensures you are completely comfortable throughout the procedure and can undergo it safely.

  • Dilation of the cervix

Our specialist will carefully dilate your cervix using special medical instruments to access the inner lining of the uterus and gain access to the treatment area.

  • Device placement and application

When you are ready, our surgeon will place a special ablation device into the uterus. This device may vary depending on the type of energy the doctor will use for the procedure. The specialist will apply special energy methods, such as heat or radio frequency, to the inner lining of the uterus, thereby controlling the destruction of the inner layer of the uterus that causes bleeding.

Once the inner lining of your uterus has been treated, the primary source of excessive bleeding during your period is eliminated, and your bleeding will decrease significantly or stop completely.

  • Final stage

Once the procedure is complete, the doctor carefully removes the device from the uterus and cleans the entire area. Our surgeon ends the procedure once they are sure it has been completed successfully. You will be awakened from the anesthesia after the endometrial ablation and kept under observation for a short time.

What to Expect During Recovery from Endometrial Ablation?

The recovery process after the procedure is just as necessary as the procedure itself to ensure that the results you achieve are permanent and satisfactory. Thanks to our surgeons' expertise, we not only offer you a successful operation but also ensure that your recovery process is safe, comfortable, and problem-free. Here are some situations you may encounter during the recovery process after endometrial ablation and points to keep in mind:

  • Mild cramps and pain: You may experience cramps similar to menstrual cramps for the first few days after the procedure. This is entirely normal and can be controlled with simple painkillers recommended by our doctor.
  • Discharge or spotting: You may experience watery, pink, or brown discharge for a few weeks after the endometrial ablation. This is a natural part of the renewal process of the inner lining of the uterus.
  • Fatigue: You may feel slightly tired on the day of the procedure and the following day. Resting and taking time for a few days will help you feel more comfortable during this process.
  • Avoid sexual intercourse: You should avoid sexual intercourse for a specific period after the procedure. Our doctor will specify this period for you, and following this rule will speed up your recovery.
  • Return to daily life: You can return to normal activities shortly after the procedure. However, avoiding strenuous exercise or tiring work for a few days is beneficial.
  • Changes in menstrual cycle: You may experience a significant decrease in menstrual bleeding in the months following the procedure, and in some cases, menstruation may stop completely. This change may vary from person to person, and our surgeon will closely monitor your progress.

How Soon Will You Notice Changes After Endometrial Ablation?

When you choose endometrial ablation, one of the first questions that comes to mind is when you will see the results. If you have been struggling with excessive menstrual bleeding for a long time, it is very normal to want immediate relief after this procedure.

However, it is essential to remember that this treatment doesn’t show immediate results, but rather gradually. Thanks to our surgeon's expertise and the advanced technology we use, you will feel safe at every stage of the process, and the results you achieve will provide you with lasting comfort in your life.

In the first few days after the endometrial ablation, you may experience mild cramps, watery discharge, or spotting, which is completely normal. During this period, you may not immediately notice a significant decrease in bleeding because the inner lining of your uterus needs time to heal after the procedure. Observing the small signals your body gives you during this adjustment period is a sign of the big changes you will experience in the coming weeks.

You will usually notice differences in your menstrual cycle within a few weeks. Your bleeding will first become lighter, shorter, and less tiring. Results vary from patient to patient at this stage; some women experience significant relief quickly, while others may take several months to see changes. Patience is essential at this point because everybody has their unique healing rhythm.

After approximately 3 to 6 months, the results become much more apparent. In most patients, menstrual bleeding decreases significantly, and in some women, it stops completely. This improves your physical health and positively impacts your daily life, social relationships, and psychological well-being. When you are free from issues such as fatigue caused by heavy bleeding, the constant need to change pads or tampons, and restrictions on daily activities, you will feel much freer and comfortable.

If you are experiencing problems with myomas and would like to benefit from the most effective treatment options, we invite you to contact our clinic today.

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