Thermal Balloon Ablation – What Is Procedure, Recovery and Side Effects


Today, Will be giving you information about a very new procedure but it is a conservative procedure to save your uterus that is called thermal balloon ablation. So the question naturally arises that what is meant by thermal balloon ablation. Thermal balloon ablation is destroying endometrium that is inner lining of the uterus.

For what/why it is done?
It is done mainly to reduce menstrual bleeding, in some patients, it is due to IUCD or due to any other cause, main cause is always perimenopausal means before menopause there is always irregular bleeding that is called AUB means abnormal uterine bleeding. So there are risks. If you ask, there are few risks but generally, in my patients, only 1 or 2% patients face these risks that is a risk of injury to other walls of the uterus or other organs nearby uterus.

Then further fertility will be there but generally we do this procedure after the childbearing age is over, that means around 34-35 up to 40-45 age of the woman. So we prepare the patient that is prerequisite means prerequisite for this operation, although this is a small operation, we have to see that the patient is not pregnant that means pregnancy, this is a must. Then D&C, that is dilatation and curettage, is must to reduce endometrial lining . Then third thing is if you are using this balloon, you should test it before you insert it, so I’ll explain in a minute that how the procedure is done. This is the balloon. Inside uterus when we insert this, we first dilate the uterus then insert this inside and fill this with the water, saline water, and that is heated up to 89 degrees, so it is held there for 10 minutes continuously. All this procedure has to be done under general anesthesia because this is a painful procedure, so this procedure has to be understood by the patient beforehand only. And within 10-15 minutes, this procedure is over.

And the main thing you will ask what is the side effect. There are side effects that is watery discharge for next few days or few weeks, 1 or 2 weeks maybe. Sometimes there is pain, cramping inside the abdomen, so that is to be taken care of with the help of medications and we always instruct patient to look for the discharge. Generally, there is no sepsis after this because slowly we remove all the water from inside and then only remove this balloon.

So in my opinion, all the perimenopausal and premenopausal women and all the women who are having more menstrual loss has to be undergo this procedure, this has to be popularized, that’s why we are here to spread awareness.

Dr. Alka Godbole (View Profile)
Consultant – Gynecologist, Currae Gynaec IVF Birthing Hospital

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