I am not a canidate for an ablation. My doctor suggested it this winter and scheduled a pelvic ultra sound and a biopsy. She explained the 1/3 people have awesome results, 1/3 have no results, and 1/3 have some good results but the problem doesn't go away like the 1st 1/3 group. The ultra sound was to determine the shape of the uterus. If there are too many fibroids that have misshappened the uterus, than the success of the ablation decreases (I am wondering if too many doctors are going with the ablation without doing this step thus the 1/3 with no results).
My tests came back with two fibroids, one of moderate size and no more talk of ablation.
You can increase your successful results by asking the doctor for more information if he/she wants to proceed without making sure you are a candidate. I am sure the clinic I use to go to would just do the procedure without the steps needed to see what shape your uterus is in. The pelvic ultra sound was not bad (very weird but not painful - just a little discomfort). The biopsy was uncomfortable but I did not get the heavy cramping feeling that the doctor warned me about (just for the second it takes to get a sample) but then again, I am one that did not feel labor pains/contractions until I was well into the final stage of labor and very seldom felt my babies moving at all during pregnancy so wonder if I lack some nerves down there?
I trust my doctor, she was the one who 1st suggested the ablation and now that she is leaning toward hysteroctomy, I will believe her!
Wish I could have the ablation though since healing time is way faster/easier.
Good luck!