Advanced training and supervision is required for most endometrial procedures especially when using first generation techniques.
Most of the modern global/second generation endometrial ablative devices have built in safety mechanisms to ensure correct placement of the probe before activating the energy.
The technology used for endometrial ablative techniques are continually developing to improve results, safety and suitability for outpatient use.
Clinicians should abide by the MRHA recommendation. They should confirm that there is no evidence of uterine perforation by a hysteroscopy prior to the insertion of the ablation device to establish the condition of the uterus or ultrasound to ensure correct uterine placement of the ablation device. If the device uses a balloon, this should remain inflated during the ultrasound scan.