Endometrial Ablation Specialist

Capital Women's Care

Obstetrics & Gynecology located in Montgomery, Bethesda, MD

When your periods are heavy and long, you know the toll it takes on your body and your life. If you want a solution, look to the professional team at Capital Women’s Care - Bethesda. With an office located in Bethesda, Maryland, Dr. Lewis Townsend, Dr. John Gschwend, and Dr. Deena Kleinerman offer endometrial ablations to reduce your monthly menstruation and help you have more energy and confidence. To learn more about the procedure or to see if you’re a candidate, call the office today to book your initial consultation.

Endometrial Ablation Q & A

What is endometrial ablation?

Endometrial ablation is a procedure that destroys the innermost layer of your uterine lining. This procedure reduces the amount of blood you shed through menstruation and breakthrough bleeding.

Each month when you have your period, your body sheds the endometrium (the lining of your uterus). This tissue normally grows throughout your monthly cycle, but in some women, it grows too much, resulting in heavy cycles that last for longer than a week or occur more frequently than every 28 days.

In endometrial ablation, the endometrium is destroyed, either significantly reducing your period or completely stopping it.


Who needs an endometrial ablation?

Your gynecologist may recommend an endometrial ablation if you experience bleeding heavy enough to interfere in your daily life. If you have heavy periods that require you to change your tampon or pad every hour or cause you to bleed through regularly, endometrial ablation can help.

Your gynecologist may also suggest an endometrial ablation if your periods last longer than a week or occur more than every 28 days. Since this procedure reduces the amount of blood you regularly lose, your doctor may also recommend it if you’re anemic (have a low red blood cell count).

Endometrial ablations aren’t right for everyone. If you may want to become pregnant in the future, you should not have the procedure. Endometrial ablations make pregnancy significantly less likely. If you do become pregnant, the procedure increases the risk of miscarriage.

If you suffer from any of the following conditions or have recently been pregnant, you shouldn’t have the procedure:

  • Uterus or endometrium disorders
  • Endometrial hyperplasia (excess of endometrial cells)
  • Uterine cancer
  • Uterine infection


What happens during an endometrial ablation?

Using small instruments, your doctor destroys the uterine lining: 

  • Hydrothermally: the doctor fills your uterus with fluid then heats it
  • With balloon therapy: a balloon is placed in the uterus and filled with heated fluid
  • Via radiofrequency: a prop is inserted, then expands and sends radiofrequency energy and heat
  • By freezing: A device is inserted, and the tip freezes your uterine lining
  • With microwave energy: a microwave-emitting wand is inserted into the uterus interior
  • Using electrosurgery: your doctor uses a resectoscope with an electrical wire loop; this procedure must be done in an operating room under general anesthesia

If your periods have taken over your life, consult with Capital Women’s Care - Bethesda to find out if an endometrial ablation can help you.  Call the office or go online to schedule your appointment.