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Uterine ablation is a minimally invasive procedure in which a gynecologist uses an implement to cauterize the inner lining of the uterus. After this procedure, most people do not continue to menstruate, or have extremely minimal "spotting" during menstruation for a long period of time or permanently. It is typically performed as a day surgery in an operating room, and the patient is typically put under "twilight" sedation, rather than general anesthesia. It is generally not painful. However, some soreness and residual spotting can occur. In some cases the procedure might be deemed medically necessary such as for the treatment of endometriosis or some other health concerns. After ablation, it is more difficult to get pregnant, but pregnancies are still possible, and have happened in some cases.