Endometrial ablation is the removal or destruction of the endometrium (lining of the uterus). It does not require hospitalization and most women return to normal activities in a day or two. Ablation is an alternative to hysterectomy for many women with heavy uterine bleeding who wish to avoid major surgery. After a successful endometrial ablation, most women will have little or no menstrual bleeding. Patient selection and physician experience is essential to a good outcome. Endometrial ablation has traditionally been done using a hysteroscope. Most women are able to go home within an hour after the procedure. There may be mild cramping, which can usually be relieved by ibuprofen. Occasionally stronger medicine may be needed. It is normal to be tired for a few days, but most women are able to return to most normal activities in a day or two. Intercourse and very strenuous activity is usually restricted for 2 weeks. It is normal to have an increased discharge for 2 to 4 weeks afterward, as the lining is shedding, Dr. Hill, Associates in Women’s Health Obstetrician/Gynecologist, normally has the first check-up 4 weeks afterwards.