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What is NovaSure?

NovaSure Endometrial Ablation is a very simple procedure that consists of removing the inner lining of the uterus. It is also known as endometrial ablation. The goal of this procedure is to reduce the menstrual flow.

This procedure is used to treat women who suffer from heavy periods due to a benign cause. It is a one-time, simple, and safe procedure that allows you to retain your uterus. It is done without general anesthesia (usually local or spinal anesthesia) and after the procedure, 90% of women will have normal, light or no periods. You can leave the hospital or clinic within 24 hours.

The NovaSure procedure is completed with a quick delivery of radio frequency energy, by a probe which is inserted into the uterus through the cervix.

Most women feel mild or no pain during the procedure and they get back to normal after a day or two. Sometimes the healing process will take up to two weeks.

Keep in mind that this procedure is only for women who have finished having children, because getting pregnant is not only unlikely after NovaSure, conceiving would be dangerous.

Why is endometrial ablation done?

  • Unusually heavy periods every month
  • Anemia from excessive blood loss
  • Preservation of the uterus
  • Hysterectomy is not possible for any reason.

Possible side effects after this procedure are:

  • Cramping
  • Mild pain
  • Nausea
  • Vomiting
  • Vaginal discharge - it can last up to a couple of months after the procedure, but usually 1-2 weeks. At the beginning usually the discharge is watery and mixed with blood, but after a couple of days it becomes clear.
  • Spotting
  • Frequent urination

Risk Factors of this procedure are:

  • Accidental perforation of the uterus
  • Thermal injuries of the uterus and bowel
  • Cervical laceration (tearing of the cervix-opening of the uterus)
  • Pulmonary embolism
  • Pulmonary edema
These problems are very uncommon, but when they occur are very severe and life-threatening.

What you should consider before deciding to have this procedure?

  • Don't consider this procedure if you still plan to give birth
  • Your endometrium can grow back after this procedure
  • Don't consider it if you have a great risk for endometrial cancer
  • Pregnancy is still possible if the procedure is not done correctly (if only a small part of endometrium remains)
  • It is very risky to get pregnant after the NovaSure procedure both for the mother and for the child, because the lining of the uterus is not able to support fetal growth and development.
This procedure is not recommended for women who wish to have children in the future, were recently pregnant, have uterine cancer, or are past menopause.

You should avoid sexual intercourse for a while after the procedure.

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