An endometrial ablation is a procedure to remove the endometrium, which is the lining of the uterus. It is not a surgical procedure, and can be done during a doctor’s office visit. The doctor inserts very thin tools through the vagina to reach the uterus and destroy the uterine lining. 

Because the uterine lining is destroyed in the procedure, it is normal to have vaginal bleeding for a few days after the ablation. You may also experience strong cramping, nausea, vomiting, or the need to urinate often for the first few days. A watery or bloody discharge can occur for up to three weeks. 

Contact your doctor right away if you experience any of these symptoms after the procedure:

• A strong-smelling discharge from the vagina
• Fever of 100.4°F or higher
• Intense cramping, stomach pain or vomiting
• Heavy bleeding or bleeding that doesn’t stop two days after an ablation
• Difficulty urinating
• Periods that aren’t lighter after three menstrual cycles

Women’s Integrated Healthcare, P.A., based in Fort Worth and Southlake, Texas, has additional resources about endometrial ablations. Read more here.