Hysteroscopic endometrial ablation is a minimally invasive procedure used to treat abnormal uterine bleeding. It involves using a hysteroscope, which is a thin, lighted telescope-like device, to visualize the inside of the uterus.During the procedure, the uterine lining is destroyed (ablated) using heat, cold, or other forms of energy.The goal is to reduce heavy menstrual bleeding by removing or damaging the tissue that lines the uterus.Hysteroscopic ablation is a less risky alternative to a hysterectomy (removal of the uterus) for managing heavy periods.