NovaSure endometrial ablation

What is endometrial ablation?

During an endometrial ablation, the gynaecologist removes the lining of the uterus, also known as the endometrium. This is the tissue lining the inside of the uterus that is shed during your period.

Endometrial ablation may be a suitable treatment if you have heavy menstrual bleeding that has a major impact on your daily life. Your gynaecologist will first investigate the cause of the heavy bleeding and discuss which treatment is most suitable for you.

In some cases, endometrial ablation can be an alternative to more major surgery, such as a hysterectomy.

How should you prepare?

No hormonal pre-treatment is needed for this procedure. It can be carried out at different stages of your menstrual cycle. Your gynaecologist will explain beforehand what the treatment involves. 

What happens during an endometrial ablation?

The gynaecologist gently widens the cervix. The NovaSure device is then inserted. Once inside the uterus, the tip of the device opens out so that it fits the shape of the uterine cavity.

Radiofrequency energy is then applied for up to two minutes. This removes the lining of the uterus.

The entire procedure takes about 20 minutes and is carried out under general anaesthesia. You will therefore need to fast before the procedure. 

What can you expect after the treatment?

After the treatment, you may experience abdominal pain or cramps. These usually feel similar to period pain and normally ease within a day. You may also have brown, watery or blood-stained vaginal discharge for a few weeks. This is normal after the treatment.

To reduce the risk of infection, you should avoid swimming, have a bath and sexual intercourse for the first three weeks.

Endometrial ablation is not a form of contraception. Talk to your gynaecologist about which form of contraception is most suitable for you after the treatment.

Result

The aim of the treatment is to significantly reduce the amount of bleeding during your period and bring it back to a normal level. In some women, periods stop altogether. The final result varies from person to person. Allow your body around three months to recover fully and settle into a new menstrual pattern.