Rollerball endometrial ablation (RB): A rollerball electrode is used to systematically coagulate the endometrium.
A fluid medium is used and it is electrolyte-free, increasing the risk of hyponatraemia if excess fluid is absorbed into circulation.
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Roller ball before ablation
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Roller ball ablation progressing
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Roller ball endo ablation progressing
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Roller ball endometrial ablation finished
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After rollerball ablation to remove womb lining, women in one study said they had improvements in
• Pelvic pain: Nearly three-quarters of the women said they had less pain.
• Premenstrual symptoms: Over two-thirds of the women had fewer symptoms of bloating and feeling irritable before their period.
• Sex life: Almost all the women said their sex life got better after the operation
• Ability to do usual activities: All women could return to normal work and 8 in 10 found housework easier
But endometrial ablation doesn’t work for everyone. Up to a quarter of women who have this operation still have heavy periods.
The operation seems to work less well in women under 40.
