ABSTRACT

When electrical energy is used to accomplish the task of endometrial ablation, an array of variables will dictate the outcome, some being in the control of the surgeon and others controlled by physiology, tissue response and anatomical variation. All methods of endometrial ablation require the delivery of enough energy to kill tissue below the basal layer of the endometrium; however, the uterus, rich with blood vessels, acts as an efficient radiator removing any intracellular heat rapidly. Also, the contour and size of the endometrial cavity will vary from one patient to another.