I have exclusively used the Thermablate system for my endometrial ablations for the last seven or so years. I have found this to be a highly effective, day case way of managing menorrhagia that has failed to respond to conservative medical treatment. Thermablate is simple to use, rarely malfunctions and is easily taught to trainees. Unlike other methods of endometrial ablation available, Thermablate is associated with very few clinically relevant side effects.