Episode # 80 • 25 Mar 2025
Endometrial Ablation: Past, Present & Future
Endometrial ablation has become a cornerstone procedure in the treatment of abnormal uterine bleeding, but is it the right solution for every patient that meets the indication? In this episode of the BackTable OBGYN Podcast, Dr. Ted Anderson from Vanderbilt University joins host Dr. Mark Hoffman to discuss the evolution of endometrial ablation and its contemporary utilization, including patient selection, technical considerations, and alternative treatments for abnormal uterine bleeding.
Timestamps
00:00 - Introduction
09:29 - History of Abnormal Uterine Bleeding and Endometrial Ablation
23:31 - Evolution of Endometrial Ablation Devices/Techniques
31:11 - Selecting the Right Patient for Ablation Success
34:38 - Post-Tubal Sterilization Ablation Syndrome
38:27 - The Role of IUDs in Managing AUB
44:07 - Reevaluating Endometrial Ablation Success Metrics
49:55 - Innovative Ablation Techniques: Cryoablation and Steam
51:48 - Adenomyosis and Fertility-Sparing Treatments
57:28 - Final Thoughts
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More about this episode
Dr. Anderson begins by detailing the history of abnormal uterine bleeding alongside the evolution of the endometrial ablation techniques that have been used to treat it. Shifting focus to current day practice, he then shares his approach to endometrial ablation, covering patient selection and the technical aspects of his approach.
Throughout the conversation, Dr. Anderson emphasizes the importance of how we define success in endometrial ablation, explaining that eumenorrhea (normal bleeding that no longer interferes with life events) is the goal, as opposed to the more traditional view that amenorrhea is the target outcome. The episode closes with a discussion on the role of alternative treatments, such as the Mirena IUD and hysterectomy for abnormal uterine bleeding.
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