Why is a hysteroscope used in endometrial ablation?

The hysteroscope contains a light and camera, allowing the clinician to see the cavity rather than work without a direct view. Before treatment, this view helps check the shape of the uterus and look for abnormalities that could affect the procedure. During ablation, it helps the clinician monitor the treated surface and avoid directing energy where it should not go.

Endometrial ablation reduces the womb lining to treat heavy menstrual bleeding in people who do not plan a future pregnancy. It is not contraception, and pregnancy after ablation can be dangerous, so reliable pregnancy prevention remains necessary.

Discuss whether ablation is suitable, how pregnancy will be excluded, and whether a biopsy or another examination is needed first. Follow instructions about medicines and recovery. Expect some cramping and watery or blood-stained discharge for a while, according to the advice from your treatment team.

Contact your treatment team for fever, worsening pelvic pain, foul-smelling discharge, or bleeding that is heavier than expected. Seek urgent care for severe pain, fainting, breathing difficulty, or a positive pregnancy test after ablation. These signs need prompt assessment for infection, bleeding, or pregnancy-related complications.

Ask why ablation is recommended, how the hysteroscope will be used, what alternatives exist, how pregnancy will be prevented afterward, and which symptoms should prompt an urgent call.