An endometrial ablation refers to a procedure that destroys the lining of the uterus, the endometrium. The purpose of an ablation is to reduce the amount of menstrual bleeding. Endometrial ablation is not right for everyone. Certain uterine conditions may not respond well to this procedure. An ablation should not be performed if there is uterine cancer present and it should not be performed on any woman who desires to have children in the future. The Thermachoice endometrial ablation is a procedure that may be performed either in the office setting or as an outpatient procedure. When done in the office setting, the patient is given medications prior to the procedure to reduce anxiety and discomfort. The Thermachoice device consists of a balloon system, in which a heating element is inside the device. The deflated balloon is then filled to the appropriate pressure with a sugar-water solution and the device inside the balloon heats the fluid to a preset temperature. The balloon forms to the cavity of the uterus, thus allowing all surfaces to be appropriately treated. The entire Thermachoice endometrial ablation takes an approximate 20 minutes, which includes the numbing process around the cervix and the hysteroscopy, looking inside the uterus with a small camera and
the actual ablation with the balloon.