NovaSure: A Procedure for Heavy Menstrual Bleeding


Over a million women have been treated with NovaSure.

NovaSure Endometrial Ablation (EA) is the simple, one-time, five-minute procedure that has treated over one million women—without hormones or hysterectomy.

NovaSure is for premenopausal women with heavy periods due to benign causes who are finished childbearing. Pregnancy following NovaSure can be dangerous. NovaSure is not for those who have or suspect uterine cancer, have an active genital, urinary or pelvic infection, an IUD or a metal uterine implant. Rare but serious risks include thermal injury, perforation, infection and other problems. Temporary side effects may include cramping, nausea, vomiting, discharge and spotting. Talk to your doctor for more information. NovaSure is not a sterilization procedure and not for women who may be pregnant.

Do heavy periods affect your life?

It’s estimated that heavy menstrual bleeding affects 1 out of every 5 women—that’s about 10 million women!

Many women begin to experience heavy and/or irregular bleeding in their 30s and 40s, as they begin to get closer to menopause. Heavy periods take a physical, social, and emotional toll as well.

Studies show heavy periods mean more than heavy bleeding. They can affect women in a number of ways:


  • Many feel tired and nauseated
  • Many experience bad cramps
  • Many have headaches


  • More than 60% have had to miss social or athletic events
  • About 80% report avoiding sex
  • 33% have been forced to miss work


  • 77% have depression or moodiness
  • 75% feel anxious
  • 57% report a lack of confidence during their period

What is NovaSure?

NovaSure is a one-time, five-minute procedure that can lighten or end your heavy period. No pills. No hormonal side effects. For 77.7% of women, menstrual bleeding is dramatically reduced or stopped. It’s a simple procedure that can be done in your doctor’s office, usually for the cost of a copay. 

The benefits of the NovaSure procedure:

  • One-time procedure
  • The procedure is quick—it usually takes less than five minutes
  • It can be performed in a doctor’s office with no general anesthesia
  • 77.7% of women returned to normal, light or no periods at all
  • 50% reported that their periods stopped completely
  • Most women experience mild or no pain during or after the procedure
  • Most women feel back to themselves within a day or so
  • There are no incisions (an incision is a cut into your body)
  • It can be performed at any time during your cycle, even if you’re bleeding
  • You don’t need to prepare by taking any pre-treatment medicine

How does NovaSure work?

NovaSure is an endometrial ablation (EA) procedure that can reduce or stop menstrual bleeding. It works by permanently removing the endometrium, or the lining of the uterus (the part that causes the bleeding), with quick delivery of radio frequency energy.

Is NovaSure right for me?

Women with heavy or long-lasting periods who do not wish to have children in the future may be candidates for the NovaSure procedure.

Your doctor can decide if NovaSure is right for you. But if you’re sure you don’t want any children in the future, and your doctor rules out more serious causes of heavy bleeding, you may be a good candidate for the NovaSure procedure.

Can I still become pregnant after 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’re sexually active. Pregnancy after ablation is very dangerous for both the mother and the fetus since the uterine lining would not be able to properly support fetal development. It’s very important to talk to your doctor about what birth control you will use after the NovaSure procedure.

What can I expect after the NovaSure procedure?

Immediately after the NovaSure procedure, some women may experience some cramping, mild pain, nausea, and/or vomiting. Most women feel back to themselves and can resume normal activities within a day or so. Be sure to follow any instructions from your doctor, no matter how good you’re feeling.

A watery and/or bloody discharge following the NovaSure procedure is normal. It could start anywhere from immediately after the procedure to a couple of weeks afterward. The discharge may last only briefly, or for up to a couple of months. It could even come and go, increasing after certain activities. This is quite normal and can be expected with any endometrial ablation procedure.

Are there any risks I should know about?

Your doctor will explain the risks of all treatment options. Some of the risks associated with EA procedures are making a hole in the uterus, bleeding, infection, bradycardia, injury to organs within the abdomen or around the uterus or complications leading to serious injury or death. These problems are very rare and reported at a rate of less than 0.05%. 

Tell your doctor if you have a cardiac pacemaker or any other electrical device in your body.

Very few patients experience complications following the NovaSure procedure. But you should call your doctor right away if you develop:

  • A fever higher than 100.4 degrees Fahrenheit
  • Worsening pelvic pain that is not relieved by ibuprofen or other prescribed medicine
  • Nausea, vomiting, shortness of breath, dizziness
  • Bowel or bladder problems
  • A greenish vaginal discharge (reddish, yellowish, or brownish is normal)

When will I know what my periods will be like after the NovaSure procedure?

Every woman is different. But plan to give your body about 3 months to fully heal on the inside and resume its normal cycle. Then, you and your doctor should be able to tell what your cycle and your periods will be like from that point on.

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