What is Hydrothermal Ablation?

Heavy menstrual bleeding can significantly impact a woman’s quality of life, causing discomfort, inconvenience, and sometimes even anemia. For women who struggle with heavy periods and have not found relief through medications or other treatments, hydrothermal ablation may offer a solution. At Marietta OB-GYN Affiliates, serving Marietta and Powder Springs, GA, we provide expert care and support for women considering hydrothermal ablation to manage excessive menstrual bleeding. Here, we’ll explain what hydrothermal ablation is, how it works, and what to expect from the procedure.

What is Hydrothermal Ablation?

Hydrothermal ablation is a minimally invasive procedure used to treat heavy menstrual bleeding by removing or destroying the lining of the uterus (endometrium). During the procedure, heated fluid is circulated within the uterus, which ablates (or removes) the endometrial tissue responsible for menstrual bleeding. This reduces or even stops menstrual flow, providing relief for women with heavy periods.

Who is a Candidate for Hydrothermal Ablation?

Hydrothermal ablation is typically recommended for women who experience heavy menstrual bleeding (known as menorrhagia) that has not responded to other treatments, such as medications or hormonal therapy. It is often an option for women who are:

• Experiencing prolonged or heavy periods that interfere with daily life
• Finished with childbearing or do not wish to have future pregnancies
• Seeking an alternative to more invasive surgical options, such as a hysterectomy

It’s important to note that hydrothermal ablation is not recommended for women who may want to become pregnant in the future, as the procedure can affect fertility and lead to complications in pregnancy.

How Does Hydrothermal Ablation Work?

Hydrothermal ablation uses heated saline solution to treat the endometrium. Here’s a step-by-step overview of how the procedure is performed:

1. Preparation: Before the procedure begins, your doctor will perform a thorough evaluation, including a physical exam and possibly imaging tests, to ensure that hydrothermal ablation is the right option for you. The procedure is usually done under light anesthesia or sedation to keep you comfortable.
2. Insertion of the Fluid Delivery System: Once you’re comfortable, a small tube, known as a hysteroscope, is inserted through the cervix and into the uterus. This tube is connected to a fluid delivery system that circulates heated saline throughout the uterus.
3. Ablation Process: The heated saline is circulated for several minutes, gently removing the endometrial lining. The heat from the saline destroys the lining tissue, which reduces or stops menstrual bleeding in future cycles.
4. Completion: After the ablation is complete, the saline is removed, and the hysteroscope is withdrawn. Most patients can go home the same day after a brief recovery period.

What to Expect After Hydrothermal Ablation

Recovery from hydrothermal ablation is usually quick, with many women resuming normal activities within a day or two. Here’s what you can expect post-procedure:

• Mild Cramping or Discomfort: Some women experience mild cramping or discomfort similar to menstrual cramps for a few days following the procedure. Over-the-counter pain relievers are typically effective in managing this discomfort.
• Watery Discharge: A watery discharge, sometimes tinged with blood, is common in the days following hydrothermal ablation as the treated tissue sheds. This discharge usually resolves within a few days to weeks.
• Reduced Menstrual Flow: Over the next few menstrual cycles, you should notice a significant reduction in bleeding. Some women find that their periods stop altogether, while others experience lighter, more manageable cycles.

Benefits of Hydrothermal Ablation

Hydrothermal ablation offers several benefits, particularly for women who want a less invasive alternative to surgical treatments. Some key benefits include:

• Minimally Invasive: Hydrothermal ablation is performed on an outpatient basis, meaning no incisions are required, and recovery is generally quick.
• Effective for Heavy Bleeding: For women who struggle with heavy or prolonged periods, hydrothermal ablation can provide lasting relief, often eliminating or significantly reducing menstrual flow.
• Short Recovery Time: Most women can return to normal activities within a day or two, making this procedure a convenient option for busy lifestyles.
• Reduced Need for Medication: By treating the underlying cause of heavy bleeding, hydrothermal ablation may reduce or eliminate the need for medications aimed at managing heavy periods.

Potential Risks and Considerations

While hydrothermal ablation is generally safe, it’s important to be aware of potential risks and limitations:

• Not Reversible: Hydrothermal ablation is a permanent procedure. If you are considering having children in the future, this procedure may not be suitable, as it can increase the risk of complications in pregnancy.
• Potential for Regrowth: In some cases, endometrial tissue may regrow, leading to the return of heavy bleeding. This is rare, but it may require additional treatment.
• Infection or Injury: As with any procedure, there is a small risk of infection, injury to surrounding tissues, or complications from anesthesia. Choosing an experienced provider can help minimize these risks.

Frequently Asked Questions About Hydrothermal Ablation

• Will I still have periods after hydrothermal ablation?
  Many women experience little to no menstrual bleeding following hydrothermal ablation. However, some may continue to have lighter periods. Your results may vary based on individual factors.
• How soon will I see results?
  Most women notice a reduction in bleeding within one to two cycles. Full results are typically evident after several months.
• Can I become pregnant after hydrothermal ablation?
  Pregnancy is not recommended after hydrothermal ablation, as it can lead to complications for both the mother and baby. If you are sexually active, your doctor may advise a reliable form of contraception.

Consult Marietta OB-GYN Affiliates for Hydrothermal Ablation

If heavy periods are affecting your quality of life, hydrothermal ablation may be a safe and effective solution. At Marietta OB-GYN Affiliates, our team of experienced providers can help you explore your options, answer any questions, and determine if hydrothermal ablation is the right choice for you. For more information or to schedule a consultation, contact us at 770-422-8505. We proudly serve women in Marietta and Powder Springs, GA, with compassionate, personalized care for all their women’s health needs.