<unk>  is a surgical procedure that is used to remove (ablate) or destroy the<unk>  lining of the uterus in women who have heavy menstrual bleeding.<unk>  is not recommended for women who wish to have children, since complications can occur.<unk>  is most often employed in women who suffer from excessive menstrual bleeding, who have failed medical therapy and do not wish to undergo a hysterectomy. Heavy menstrual bleeding is most commonly due to dysfunctional uterine bleeding or adenomyosis. The procedure is almost always performed as an outpatient treatment, either at the hospital, ambulatory surgery center, or physician office. The<unk>  procedure is primarily performed while patients are under local and/or light sedative anesthesia, or if necessary, general or spinal anesthesia. Patients normally leave the treatment facility within one hour following the procedure and generally spend one day resting at home, before returning to the activities of daily living. After the procedure, the endometrium heals by scarring over, thus reducing or eliminating future uterine bleeding. The patient's hormonal functions will remain unaffected because the ovaries are left intact. Placenta accreta may occur if the patient becomes pregnant after<unk> , so birth control is necessary. Depending on the treatment that is chosen,<unk>  is sometimes conducted after treatment with hormones, such as norethisterone or Lupron to reduce the thickness of the endometrium.
Endometrial ablation
Uterine myomectomy
Vasectomy
Vasectomy reversal
Hysterotomy
Prolotherapy
High-dose estrogen
Sacrohysteropexy