NovaSure Endometrial Ablation is a one-time, 5-minute procedure that gently removes/evaporates the lining of the uterus - the part that causes monthly bleeding. The NovaSure procedure can reduce or stop bleeding altogether. It's less invasive than hysterectomy, and avoids the potential side effects of hormones and it can be done in the office!
Women with heavy or long-lasting periods who do not wish to have children in the future are good candidates for the NovaSure procedure. We can help you decide if NovaSure is right for you. If you are sure you do not want children in the future, and we rule out more serious causes of heavy bleeding, you may be a good candidate for the NovaSure procedure.
Because NovaSure treats the lining of the uterus, your chances of getting pregnant after the procedure will be reduced. However, it is still possible to get pregnant if you are sexually active. A pregnancy after an ablation is very dangerous for both the mother and the fetus, since the uterine lining will not be able to properly support fetal development. It is very important to talk to us about which birth control you will use before the NovaSure procedure.
Immediately after the NovaSure procedure, some women may experience cramping or mild pain. Most women feel back to themselves and can resume normal activities within a day or so. Be sure to follow any instructions we provide, no matter how good you are feeling. A watery and/or bloody discharge following the NovaSure Endometrial Ablation procedure is normal. It could start anywhere from immediately after the procedure to a couple of weeks afterwards. The discharge may last only briefly, or for up to a couple of months. It can even come and go, increasing after certain activities. This is quite normal and can be expected with any endometrial ablation procedure.
Most women feel better within the first week following the procedure; however, do not lift, push or pull any heavy objects for a couple of weeks. Do not resume sexual intercourse until you are given the OK. Full recovery takes about two weeks.
Pregnancy after ablation, while rare, carries risk of miscarriage and serious complications. Bleeding may still occur after ablation but it is usually much less than before the ablation. A hysterectomy (removal of the uterus only) may be needed in the future if the procedure is not successful. The procedure carries risks (e.g., infection, bleeding, damage to uterine wall or surrounding organs such as the bowel, although this is very rare).
Most women describe the cramping experienced during the NovaSure procedure as similar to their menstrual cramps and is very tolerable.