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Doctor insights on: Problems After Novasure

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Dr. Jeff Livingston
220 Doctors shared insights

Endometrial Ablation (Definition)

Endometrial ablation refers to procedures that use energy to damage or destroy the lining of the uterus that normally build up in preparation of pregnancy. If no pregnancy happens, the lining is shed as a period. There are several different types of ablation-thermal heat, radio frequency, and freezing. All of them are good options but some might be better in certain situations. ...Read more


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Ihad the novasure done 3 years. No problems. Today I started bleeding is this normal?

Ihad the novasure done 3 years. No problems. Today I started bleeding is this normal?

Probably: There is no guarantee of no further periods with any endometrial ablation procedures. Assuming there is nothing abnormal by ultrasound, ? Endometrial uterine biopsy, and such lab tests as pregnancy and thyroid tests. It is most likely that you are experiencing a simple return of your periods. They may very well be irregular and occasionally heavy again. ...Read more

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Deciding btwn novasure or hysterectomy. My problem isn't heavy periods or cramping, I experience some pain due to fibroids. Opinion: best solution?

Deciding btwn novasure or hysterectomy. My problem isn't heavy periods or cramping, I experience some pain due to fibroids. Opinion: best solution?

Hysterectomy if Pain: Novasure is wonderful for reducing menstrual bleeding. Fibroids are benign tumors that are present in 25-50% of women during their reproductive years. Since you have pain and fibroids, the question is is the pain significant enough you desire relief to improve the quality of your life (ie. Worth surgical risks)? If you've completed your family then hysterectomy; if not, then myomectomy. ...Read more

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How effective is an endometrial ablation to relieve severe menstrual problems?

Very effective: Endometrial or uterine ablation is up to 90% effective in treating abnormal bleeding depending on the method used. Hta and novasure are the two most effective and common methods. Novasure is slightly quicker and can be scheduled almost any time in your cycle. Hta or genysis hydrothermablation can be performed on differently shaped uteruses with greater safety and with less discomfort. ...Read more

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Why would my burning vulval and back passage symptoms not be related to endometrial ablation, when I didn't have this problem previous to op?

Why would my burning vulval and back passage symptoms not be related to endometrial ablation, when I didn't have this problem previous to op?

Not related: The novasure device has a fail-safe mechanism to prevent over cauterization. Burning externally is usually not related to an ablation. I would make an appointment and be evaluated to see if you have an infection or a tear. ...Read more

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Twilight vs general for novasure?

Twilight vs general for novasure?

Depends: It depends on your health conditions. Sedation requires a healthy patient with a certain level of cooperativity. Many patients with choose to have general anesthesia for this procedure. ...Read more

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What is novasure? Is it reversbile?

What is novasure? Is it reversbile?

Uterine ablation: Novasure is one of many techniques of uterine ablation utilizing radiofrequency energy to destroy the lining of the uterus. It is very effective in reducing or stopping menstrual blood flow and somewhat effective in alleviating painful periods. It is not reversible and pregnancy is not recommended after an endometrial ablation. ...Read more

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What to do if I have the novasure pocedure doe?

What to do if I have the novasure pocedure doe?

Can you be more spec: Ific? Do you mean if you need to prep for the procedure (ans: no, except maybe take Motrin if not contraindicated), or if you still have bleeding after (ans: if small amount, not unexpected; if large amount, may need other treatment), or if you have pain (ans: see your doctor), or otherwise? ...Read more

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I had novasure almost 2 weeks ago, when can I exercise?

I had novasure almost 2 weeks ago, when can I exercise?

As soon as you want: After a novasure you can exercise as soon as you feel well. There are no restrictions post-procedure. ...Read more

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I had novasure almost 2 weeks ago, when can I exercise?

I had novasure almost 2 weeks ago, when can I exercise?

Now: You can resume normal activity about 48 hours after the procedure. ...Read more

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Is it normal to bleed years after novasure procedure?

Is it normal to bleed years after novasure procedure?

Recurrence: Small areas of inner lining of the uterus that were missed during the novasure procedure but did not cause significant bleeding right after the procedure can grow back over time and eventually lead to visible bleeding. ...Read more

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I started bleeding 8 years after novasure should I be worried?

No: It is not uncommon to have bleeding after NovaSure, even several years. Some patients will even have a return of normal cycles. If the bleeding is heavy or prolonged, see your gyn. ...Read more

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I'm having myosure and novasure on 10th December, both procedures same day. How long should I take off work?

A few days: The myosure procedure is done to remove fibroids. The Novasure is done for endometrial ablation. These procedures are done to reduce heavy menstrual bleeding, after either procedure you may have some cramping and pain. This may last 1-2 days. Medications can help decease these symptoms. Because you are having both procedures done you may have slightly more cramping. ...Read more

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What are the odds of endometrium regenerating after the Novasure procedure? I haven't had a cycle in 13 months.

Little chance: There is little chance of the endometrium regenerating. If you start to develop bleeding, it is more likely there may be a polyp developing in an island of endometrium that may be there already. ...Read more

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I had the novasure procedure 4 days ago. During this procedure it was done twice n my lining didn't want to shed what would cause this?

Not sure: The novasure procedure generally works well. I have never encountered anything that would make me need to do it twice. You probably should discuss this with your gynecologist as maybe the first time the machine did not do the procedure. ...Read more

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I have been recomended a novasure ablasion. I am concerned after reading so many having terrible unexplained pain years after this proceedure.?

I have been recomended a novasure ablasion. I am concerned after reading so many having terrible unexplained pain years after this proceedure.?

You have options: There are many treatments available for heavy periods. Novasure, hydrothermablation, cryoablation and thermachoice are all fda approved. I thinkthat the hydrothermablation (also called genysis or hta) is the safest option. Look for a doctor who has experience with this as well. ...Read more

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Novasure and pregnancy afterwards?

Novasure and pregnancy afterwards?

Absolutely not: Very dangerous to you and a possible pregnancy to become pregnant after novasure. Thought there have been documented successful pregnancies following novasure, the risks to a woman and forming fetus are way too large. Birth control, some form of it, is always indicated after an endometrial ablation. ...Read more

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Which procedure would be best for a endometrail ablation thermal or novasure?

Either one: There really is no good answer to that question. The procedures are equally effective for most women. If your uterus is larger then 8-9 cm, your physician may choose thermal ablation which may be better for larger uterine cavities. If your procedure is done in the office, my experience has been that novasure is somewhat better tolerated and certainly quicker for the patient. ...Read more

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I had the novasure procedure several years ago, why am I bleeding after sex now?

I had the novasure procedure several years ago, why am I bleeding after sex now?

This is not uncommon: It is not uncommon to have some bleeding after an endometrial ablation. In some cases regular periods may return after several months or years. It is more common to have light bleeding. Cramping after sex may release retained blood from your uterus. You should discuss this with your doctor at a future visit. ...Read more

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How Long is recovery supposed to be after novasure ablation? I've been with dichargre for two weeks

Normal: Discharge following in the metria liberation is going to be normal even for two weeks. If you're concerned there might be the possibility of infection, and definitely see your doctor. But it would be normal to have dark brown discharge for a couple of weeks ...Read more

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I had novasure almost 3 years ago. Now I'm occasionally experiencing light bleeding after sex. It doesn't last. As soon as I clean up, it's gone.

I had novasure almost 3 years ago. Now I'm occasionally experiencing light bleeding after sex. It doesn't last. As soon as I clean up, it's gone.

Exam: You need to be evaluated for infection and possible uterine source of bleeding. An ultrasound and endometrial biopsy would be helpful. ...Read more

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Is ablation like novasure an option for women with endometriosis?

Is ablation like novasure an option for women with endometriosis?

Yes and No: The Novasure ablation procedure is specifically to decrease or stop heavy menstrual bleeding. Women who also have endometriosis can still have the procedure; however, it won't help with their endometriosis. The reason for this is that endometriosis is outside the uterus. The Novasure procedure works by cauterizing the inside of the uterus. Best wishes! ...Read more

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How long should you menstrate after getting the novasure ablation?

It is variable: Ablation is 90% effective in controlling abnormal bleeding but only 50% effective in stoping periods. It is normal to have light periods after novasure. ...Read more

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I have had a novasure done 4 years ago due to heavy Bleeding my husband and I want to have a other baby. Can a novasure be undone?

Maybe: There are successful pregnancies after novasure reversal, but there are likely many more failures (even if one is a reasonable candidate for the procedure). Please discuss with your OB to see if this is something that is viable for you personally. ...Read more

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Due to have Novasure on the 24th, scan is next week but got a call asking me to attend clinic this coming Thursday, should I be worried?

Due to have Novasure on the 24th, scan is next week but got a call asking me to attend clinic this coming Thursday, should I be worried?

Don't worry: Worrying is just negative energy. Gather information and then make a decision. You will feel empowered. Call your clinic and ask them whey you got called in so you can understand what is happening. We here on HealthTap cannot answer for individual practitioners. Empower yourself with information and you will feel stronger, calmer and more prepared. ...Read more

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I've been having light brown discharge for 8 weeks after novasure. I passed a chunk of light brown tissue yesterday. Is this normal? Should I worry?

I've been having light brown discharge for 8 weeks after novasure. I passed a chunk of light brown tissue yesterday. Is this normal? Should I worry?

This is not uncommon: The tissue you described is the residual tissue burned during the ablation. I've heard it described by novasure patients like that. It's also not uncommon to have some bleeding after an endometrial ablation. Sometimes regular periods may return after several weeks to years. It is more common to have light bleeding. You should discuss this with your doctor at a future visit. It is not urgent. ...Read more

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What is an endometrial ablation?

Treatment for period: An endometrial ablation is a procedure to destroy the lining of the uterus to eliminate or minimize the amount of bleeding during menstrual cycles. There are five different techniques and most can be done in the office under local anesthesia. This does not effect your hormones or cause menopause. It is a great option and helps patients avoid major surgery. ...Read more