Endometrial Ablation Cost in India

“The cost of Endometrial Ablation starts from USD 2,800. The Obstetrics & Gynecology hospitals in India promise unparalleled health treatments at low-cost packages.

  • Endometrial ablation is a medical procedure that is generally preferred to remove or destroy the endometrial lining of the uterus in women who have severe menstrual bleeding. It is a technique that destroys the uterine lining by applying heat, cold, or other forms of energy.
  • The doctor might suggest an endometrial ablation as a treatment option if the heavy periods are an issue.
  • A period is deemed heavy if it:
  • Makes one anemic as a result of the monthly blood loss.
  • Extends beyond seven days.
  • Interfere with the ability to carry out daily tasks.
  • Compared to a hysterectomy, it is less risky and has less restrictions. Before undergoing an endometrial ablation, many patients do, however, attempt to control their bleeding with medication.
  • One might experience less bleeding, no bleeding, or no change in the period’s bleeding patterns following an endometrial ablation. If you have plans for parenthood, it’s best to avoid endometrial ablation.
  • Endometrial ablation is more frequently used by women who experience heavy menstrual bleeding, have not responded to medical therapy, and do not want to have a hysterectomy.
  • The most common cause of menstrual bleeding in women is adenomyosis or dysfunctional uterine bleeding. This procedure is always carried out as an outpatient; it may be done at a moving surgery center, hospital, or doctor’s office.
  • The majority of endometrial ablation procedures are carried out while patients are under local or mild sedative anesthesia, or in general or spinal anesthesia if necessary.
  • Alternative Names: Endometrial Ablation in India may also be termed Hysteroscopy – endometrial ablation; Laser thermal ablation; Endometrial ablation – radiofrequency;
  • Endometrial ablation – thermal balloon ablation; Rollerball ablation; Hydrothermal ablation; Nova sure ablation.
  • The procedure is not a treatment for any menstrual or uterine problems that are caused by cancer.

Who is eligible for endometrial ablation?

When taking medication doesn’t relieve heavy periods, endometrial ablation can. Endometrial ablation may be appropriate for one if:

  • Someone or a spouse has undergone a vasectomy, one is willing to use birth control, or one is positive they do not want to become pregnant and would like to have their tubes tied.
  • The doctor is unable to identify a thyroid condition or cancer as the reason for the heavy periods.

Who is not a candidate for this procedure?

Not everyone should undergo endometrial ablation. After assessing the bleeding, the doctor will decide whether endometrial ablation is a good option for the patient. In general, an endometrial ablation is not recommended if:

  • The bleeding has not been assessed by the doctor.
  • The shape of the uterus is not normal.
  • Someone refuses to use birth control after the procedure, or the patient and the partner are not sterilized (via vasectomy or tubal ligation).
  • Someone who has had the menopause.
  • An infection of the vagina or cervix.
  • Cancer of the uterus or cervix.
  • A classical C-section scar.
  • Furthermore, some individuals cannot undergo an endometrial ablation because they have fibroids or have had specific uterine surgeries.

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Types of methods for the Endometrial Ablation Procedure in India

Endometrial ablation can be done in the doctor’s clinic. However, endometrial ablation is done in a hospital for some types of endometria, particularly if anesthesia is required.

The cervix’s opening should be widened to allow the instruments used for endometrial ablation to pass through. Medications or a series of rods inserted into the cervix that gradually widen until it is sufficiently widened can both widen the cervix.

Procedures for endometrial ablation differ depending on how the endometrium was removed. Choices consist of:

Electro Surgery: which requires general anaesthesia. The uterus can be seen inside with a thin scope. A heated tool, such as a wire loop, is passed through the scope to sculpt wrinkles into the endometrium.

Cryoablation: Using extremely cold temperatures, two or three ice balls are formed, which will freeze and destroy the endometrium. Doctors use real-time ultrasound imaging to monitor the development of ice balls.

Free Flowing Hot Fluid: The endometrial lining is destroyed when heated saline fluid is circulated inside the uterus for approximately ten minutes.

Heated balloon: To destroy the endometrial tissue, a balloon device is inserted through your cervix and filled with heated fluid.

Microwave: A thin wand is inserted through the cervix. The wand emits microwaves that heat the endometrial tissue. Usually, this process takes three to five minutes.

Radio Frequency: A flexible ablation device is firmly unfolded inside the uterus by a specialized instrument. After that, the device will begin to emit radiofrequency energy, which in one to two minutes will destroy the endometrial tissue. After that, the device is firmly taken out of the uterus.

Irregular-shaped uterus: Women whose uterus have irregular shapes due to aberrant tissue growth. The most common causes of uterine shape change are interactivity lesions or uterine fibroids.

Procedure Endometrial Ablation in India

Before the Procedure

There are a few things one should consider before having endometrial ablation, which are listed below.

Check for Pregnancy: If one is pregnant, endometrial ablation is not an option.

Check for Cancer: One should have a check-up to determine whether there is any cancer. To obtain a sample from the endometrium and determine whether or not it is cancerous, a thin tube is placed through the cervix. To make sure one doesn’t have cancer and to check for abnormal cells in the uterus, the doctor might perform a biopsy.

Remove the IUD: If you have an IUD in place, it is not advised that you undergo endometrial ablation.

Reduce Endometrial Thickness: The likelihood of a successful endometrial ablation increases with reduced uterine lining thickness. The doctor may advise to get a dilation and curettage (D&C) or prescribe certain medications. It is the procedure in which the doctor will scrape out extra tissue.

Discuss the Anaesthesia Option: general anesthesia is required in some methods of endometrial ablation, so the patient is asleep during the treatment.

MRI: To examine the uterus more closely, the doctor will request an MRI or ultrasound.

Over-the-counter medication: The doctor will review the medications one takes. It is important to confirm that one’s not taking any medications that could interfere with the procedure (such as blood thinners).

During the Procedure

  • As though one were having a pelvic exam, the patient is positioned on a table.
  • To help with any post-procedural discomfort, medication may be administered approximately one hour before the endometrial ablation procedure.
  • The doctor may give sedatives and numb the pelvic area, depending on the type of endometrial ablation, to ensure one doesn’t experience any pain or discomfort during the process.
  • The doctor inserts a thin, wand-shaped device into the vagina during endometrial ablation. This device reaches the lining of the uterus by passing through the cervix.
  • The device uses energy, heat, or cold, depending on the type of endometrial ablation, to destroy a portion of the lining. Things move quickly thanks to technology, so the patients should have little to no discomfort during the procedure.

After the Endometrial Ablation

  • Endometrial ablation decreases blood loss during menstruation; however, results may not be seen for several months.
  • The patient might experience mild nausea.
  • On the first day following the procedure, the patient might need to urinate more.
  • A period-like cramping sensation may last for one to three days following an endometrial ablation.
  • For a few weeks following, the patient might have pink discharge or light bleeding. It typically peaks on Days 2 and 3 following the procedure.
  • Some women may experience lighter periods, and some may experience no periods at all.
  • Since endometrial ablation does not sterilize a person, one should keep using contraception to avoid becoming pregnant. It is possible to become pregnant after endometrial ablation, but it is risky and may result in miscarriage.

Recovery

Depending on the kind of ablation one had and the kind of anesthesia used, the recovery period will change.

One is going to be taken to the recovery room if the patient is under spinal, epidural, or general anesthesia. One will either be brought to the hospital or sent home once your breathing, blood pressure, and pulse have stabilized and one is conscious. If the patient underwent the procedure as an outpatient, arrange for a ride home from someone else.

Some of you will need to recover for roughly two hours before returning home if you were not given anesthesia.

  • Allow yourself time to recover. For the first three days following the procedure, refrain from using a tampon or douche.

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Risks/Benefits

Heavy bleeding can be stopped with endometrial ablation, eliminating the need for daily medication. It’s standard practice.

However, the process does result in tissue destruction, so there are risks:

  • Heavy bleeding.
  • An allergic reaction.
  • Puncturing the uterus.
  • Organ damage close to the uterus.

But only a safe portion of the uterine lining is destroyed thanks to precise technology that converts healthy tissue into scar tissue.

This procedure should not be performed on people who have gone through menopause or who have a high risk of endometrial cancer.

The chance of getting endometrial cancer rises after menopause. Destroying endometrial tissue makes uterine cancer cells more difficult to detect. Lighter periods are not worth the risk of missing cancer cells.

Fertility in the future

  • Pregnancy is still possible following endometrial ablation. The patient and the unborn child are at greater risk during pregnancy.
  • Due to damage to the uterine lining, the pregnancy may end in miscarriage. Incorrect placental implantation could result in the placenta growing into the wall of the uterus.
  • Alternatively, rather than the uterus, the pregnancy may develop in one of the fallopian tubes or the cervix. This is known as an ectopic pregnancy.
  • It is advised to use long-term or permanent birth control to prevent pregnancy if you have had an endometrial ablation.

Special Conditions

Inform your physician if any of the following take place:

  • Unpleasant-smelling vaginal discharge
  • Chills or fever
  • Intense stomach ache
  • Prolonged or severe bleeding that occurs more than two days following the procedure
  • Urinary difficulties
  • Depending on the situation, the doctor might give additional instructions after the procedure.

Make an appointment with your healthcare provider to discuss recovery if, after two to three months, one is still experiencing heavy periods or spotting.

After the endometrial ablation, make sure to keep any appointments that the doctor suggests.

Outlook (Prognosis)

The uterine lining mends itself by leaving scars. Most often, following this procedure, women will experience less menstrual bleeding. For as many as 30% to 50% of women, their periods may completely stop.

Older women have a higher likelihood of this result. The results from the procedure are not always permanent. If a woman’s bleeding persists, she might require more surgery.

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Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.
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