Endometrial ablation uses heat energy to destroy the inner lining of the uterus, so bleeding will be reduced.
However, glands in the muscle (adeno= glands; myosis in the muscle) will be trapped. Some has described this as sealing off the juice on the BBQ hot plate. Bloating and period pain can get worse.
Endometrial Ablation as Adenomyosis Treatment
Even with modern technology, adenomyosis deeper than 2.5mm cannot be treated by ablation, according to a 2015 study.
If MRI is used for diagnosis, the depth is 12mm minimal. Therefore, adenomyosis diagnosed on MRI should not be treated with ablation.
In the past, when ablation failed to treat adenomyosis or if pain is worse after ablation, hysterectomy is to follow.
Today, there is an alternative to hysterectomy.
If you had ablation and the pain has gone worse, UAE might help to kill off adenomyosis tissue and alleviate pain.