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Hydrothermal Endometrial Ablation

Medically reviewed by Last updated on Dec 2, 2022.

Endometrial ablation is a procedure to remove the endometrium (lining of your uterus). You may need this procedure if you have heavy or abnormal vaginal bleeding. Hydrothermal means heated fluid is used during the procedure. You will not be able to become pregnant after this procedure. Your healthcare provider will talk with you about this procedure to make sure you do not want to have children in the future.

Female Reproductive System


Call 911 for any of the following:

  • You feel lightheaded, short of breath, and have chest pain.
  • You cough up blood.

Seek care immediately if:

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.
  • You feel dizzy, weak, and confused.
  • You cannot stop vomiting.
  • You have severe pain.
  • You are not able to urinate.

Contact your healthcare provider if:

  • You have a fever.
  • You have vaginal bleeding and it is not time for your monthly period.
  • The bleeding during your monthly period has not decreased.
  • You have pain when you urinate or see blood in your urine.
  • You have questions or concerns about your condition or care.


  • Medicines can help decrease pain, calm your stomach, and control vomiting.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell your provider if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.


Ask when you can return to your usual activities. Do not have sex or use tampons or douches for 6 weeks after your procedure, or as directed.

Birth control:

You may still need to use birth control to prevent pregnancy. Pregnancy risks, such as a miscarriage and tubal pregnancy, are higher after this procedure. Talk to your healthcare provider about birth control or pregnancy after endometrial ablation.

Follow up with your doctor as directed:

Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.