Endometrial Ablation
A minimally invasive procedure that destroys the uterine lining to permanently reduce or eliminate heavy menstrual bleeding — an effective uterus-preserving alternative to hysterectomy for suitable women.
What is Endometrial Ablation?
Endometrial ablation is a minimally invasive procedure in which the endometrial lining of the uterus is destroyed using heat, microwave, or radiofrequency energy — permanently reducing or eliminating heavy menstrual bleeding. It is performed through the cervix without abdominal incisions and is typically completed as a day procedure. It is suitable for women with heavy periods who have completed their family and in whom structural uterine pathology has been excluded. Dr. Ashwani Narla performs endometrial ablation at Lux Hospitals, Hyderabad, using second-generation ablation devices for consistent, effective results.
Suitable for women with heavy menstrual bleeding that has not responded to medical treatment, who have completed their family, have a normal uterine cavity, and in whom hysterectomy is not desired or not indicated.
How the Procedure Works
Assessment & Preparation
Hysteroscopy is performed to confirm a normal uterine cavity and exclude polyps, fibroids, or malignancy before ablation proceeds.
Anaesthesia
General anaesthesia or deep sedation is administered. The cervix is dilated to allow the ablation device to be introduced into the uterine cavity.
Device Placement
The ablation device is inserted into the uterine cavity under guidance. Correct positioning is confirmed before energy delivery begins.
Energy Delivery
Thermal, microwave, or radiofrequency energy is delivered to the endometrial lining for the device-specified treatment cycle, typically two to five minutes.
Recovery & Discharge
The device is removed and the patient recovers for one to two hours. Discharge is same day. Light bleeding and cramping may continue for one to two weeks.
Outcomes
Who Needs This Treatment?
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Significantly reduces or eliminates heavy menstrual bleeding in most women
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Day procedure with rapid return to normal activities within days
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No abdominal incisions — entirely performed through the cervical opening
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Avoids hysterectomy and its associated recovery in suitable candidates
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Uterus is preserved — though fertility is not maintained after the procedure
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Second-generation ablation devices offer consistent, reproducible results
Endometrial ablation gives women their lives back — month after month of heavy, debilitating bleeding resolved through a day procedure with no incisions and a two-day recovery.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Endometrial Ablation Cost in Hyderabad
The cost of endometrial ablation in Hyderabad can vary depending on the severity of heavy menstrual bleeding, the underlying condition such as adenomyosis, diagnostic investigations, the ablation technique used, and the level of care required. The estimated cost of endometrial ablation generally ranges from ₹60,000 to ₹1,30,000, with an approximate average cost of ₹95,000. The procedure is designed to reduce excessive menstrual bleeding while preserving the uterus.
| Procedure | Approximate Cost Range |
|---|---|
| Endometrial Ablation for Adenomyosis | ₹60,000 – ₹1,30,000 |
The actual treatment cost may vary depending on the patient's condition, pre-procedure investigations, type of ablation technique, anesthesia charges, hospital stay, medications, and any additional treatment or procedures that may be required.
Factors That Influence Endometrial Ablation Cost
Several factors can affect the overall cost of endometrial ablation for heavy menstrual bleeding associated with adenomyosis:
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Severity of heavy bleeding: The extent and persistence of abnormal menstrual bleeding may influence the evaluation and treatment plan.
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Underlying condition: Adenomyosis and other uterine conditions may require additional assessment before endometrial ablation is considered.
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Diagnostic investigations: Tests such as ultrasound, blood tests, and other uterine evaluations may be recommended before the procedure.
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Ablation technique: The specific technique and equipment used for endometrial ablation can affect the overall treatment expenses.
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Hospital and recovery care: Anesthesia, admission or observation, medications, monitoring, and follow-up consultations may contribute to the final cost.
Is Endometrial Ablation Covered by Insurance?
Endometrial ablation may be covered by health insurance when it is considered medically necessary for conditions such as persistent heavy menstrual bleeding. Coverage varies according to the insurance policy, inclusions, exclusions, and pre-authorization requirements. The hospital's insurance support team can help patients understand the applicable process and documentation requirements.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Ashwani Narla
Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Dr. Ashwani Narla is a Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon at Lux Hospitals, Hyderabad. She provides evaluation and treatment for various gynecological conditions, including adenomyosis and conditions associated with heavy menstrual bleeding. During the consultation, Dr. Ashwani Narla will review the patient's menstrual history, symptoms, medical history, examination findings, and diagnostic reports. She will assess the underlying cause of heavy bleeding and determine whether endometrial ablation is a suitable treatment option based on the patient's condition and treatment goals. She will also explain the procedure, expected benefits, possible alternatives, and estimated treatment cost.
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