Endometrial Ablation (Novasure, Thermachoice, Minerva)

Endometrial ablation is a treatment option for excessive or prolonged menstrual bleeding. An endometrial ablation uniformly destroys the endometrial lining causing scarring. This causes women to have much lighter to no menstrual periods. There are many different types of ablations that can be performed in the office or in a hospital setting. Recovery is typically outpatient with an expected return to work within 1-2 days. Talk to your doctor about your options.

This procedure is performed to treat or control prolonged or heavy uterine bleeding when:

  • Bleeding has not responded to other treatments such as oral birth control.
  • Childbearing is completed.
  • You prefer not to have a hysterectomy.
  • Other medical conditions prevent hysterectomy.

Endometrial ablation can be performed using the following methods:

  • Laser beam (laser thermal ablation)
  • Heat or thermal ablation
  • Electricity using a resectoscope with a loop or rolling ball electrode
  • Freezing
  • Microwaves

Once the procedure is completed, the uterine lining heals by forming scar tissue that reduces and prevents uterine bleeding. This procedure can be done on-site at a doctor’s office or in an outpatient facility and is completed in 45 minutes. A local, spinal, or general anesthesia can be used to alleviate discomfort, and patients can return home the same day. After the procedure you can expect some cramping, nausea, and vaginal discharge lasting anywhere from two days to two weeks.