Several years ago a more conservative alternative to hysterectomy was developed for women whose only complaint was heavy periods. After confirming that the patient has no evidence of cancer or pre-cancer changes, the endometrium (or inner lining of the uterus, which is shed with each menstrual period) is destroyed in the operating room with a procedure called endometrial ablation.

In the beginning, ND:Yag laser was used for this purpose; later cautery with a “rollerball” (much like using a lawnmower to roll over the endometrium a row at a time) was developed. With safety as the major focus, other methods of ablation have been developed; other forms of energy have been used to destroy the endometrium. Microwaves, heated water, and electricity (cautery), among others have proven to be easier and safer to use.

About five years ago, the doctors at Tyler Obstetrics & Gynecology introduced Novasure® to Tyler. Both hospitals purchased the equipment and to date over 400 Novasure® ablations have been done in our community. Most recently, selected patients have been offered the procedure as an office surgery, done with sedation rather than general anesthesia. This is easier for patients and doctors as well as reducing cost. The procedure takes less than 5 minutes to perform; recovery is less than a day.

Novasure® is done only in patients whose primary difficulty is heavy menstrual periods. It cannot take the place of hysterectomy in patients with other problems or whose bleeding is due to large fibroids, cancer, hyperplasia (pre-cancer) and several other problems. It should not be performed in anyone who desires future childbearing; it is often done in conjunction with tubal ligation to ensure that a future pregnancy is avoided.

Women undergoing Novasure® can expect some cramping on the day of the procedure, but pain is usually gone within 24 hours. Most activities can be resumed at that time. Except for a discharge that may last three or four weeks, that is the extent of the recovery.

90 to 95% of patients are pleased with the results and require no further therapy. 5 – 10% of women may still require other treatment to control heavy bleeding. 40% of women following Novasure® ablation will have no further menstrual bleeding.

If heavy menstruation is a problem, you might be a candidate for Novasure®. Take a look at the website: Novasure, and discuss this option with your Tyler OBGYN provider.