Do you need a referral for endometrial ablation?

Endometrial ablation treats heavy menstrual bleeding by reducing or removing the uterine lining. A referral to an obstetrics and gynaecology service allows a specialist to investigate the bleeding and decide whether this treatment fits your situation. The assessment may include a pelvic examination, pregnancy testing, blood tests, imaging, or sampling of the uterine lining. The team also discusses fertility plans, because pregnancy after ablation can be dangerous and the treatment is not intended for someone who wants to become pregnant.

Ask your primary-care doctor or the clinic whether you can book directly and which records are required. Write down how often you bleed, how long bleeding lasts, whether you pass clots, and how symptoms affect daily activities. Bring details of contraception, medicines, prior uterine surgery, and treatments already tried. Ask about alternatives, the expected recovery, contraception after treatment, and what follow-up is arranged if bleeding continues.

Seek urgent medical care for bleeding that soaks through protection rapidly, fainting, severe weakness, chest pain, or shortness of breath. Contact a clinician promptly for bleeding between periods, after sex, or after menopause, especially with pelvic pain or fever. These symptoms need evaluation before an ablation referral is treated as the next step.

Ask: Do I need a referral? What is causing my bleeding? Do I need an examination or uterine-lining sample? Which contraception is suitable afterward? What should I do if heavy bleeding returns?