What is NovaSure Endometrial Ablation?

NovaSure Endometrial Ablation is an outpatient procedure for premenopausal women who have heavy menstrual flow. It is used only in women who have finished childbearing, and works by permanently removing the endometrium, the innermost lining of the uterine wall. NovaSure is not a sterilization procedure.

Heavy menstrual flow is called menorrhagia. This is more common as women approach menopause. Heavy flow can cause:

  • Fatigue
  • Cramps
  • Headaches
  • Missed work
  • Missed social activities
  • Depression

Options for the treatment of menorrhagia

  • Oral contraceptives
  • Hormone-releasing IUD
  • D&C (Dilation & Curettage)
  • Hysterectomy

Who should not have NovaSure

  • Women who have not completed childbearing, as it causes non-reversible loss of fertility. Pregnancy is dangerous after an ablation, since the lining would not be able to properly support fetal development.
  • Women who are suspected of having uterine cancer.
  • Women who have an active genital, urinary or pelvic infection.
  • Women who have an IUD or metal uterine implant.

Advantages of NovaSure

  • 77.7% of bleeding is dramatically decreased or stopped.
  • It is a minor procedure which can be done in a doctor’s office.
  • The procedure requires no incision.
  • The procedure takes only 1-5 minutes.
  • Rapid recovery – most women are back to normal activities in one day.
  • Minimal post-procedure pain.

Risks of NovaSure

  • Thermal injury
  • Perforation of the uterus, a hole in the uterus
  • Infection
  • Reaction to anesthetic agent
  • Injury to organs within the abdomen

Temporary side effects

  • Cramping
  • Nausea
  • Vomiting
  • Watery bloody discharge
  • Light bleeding

Very few patients experience complications following NovaSure, but you should call your doctor if you develop:

  • Fever over 100.4 degrees Fahrenheit
  • Worsening pelvic pain
  • Nausea, vomiting, shortness of breath, dizziness
  • Bowel or bladder problems

For more information on NovaSure Endometrial Ablation, visit:


Developed by Austin Regional Clinic.
Last modified: 2022-05-17
Last reviewed: 2022-05-17

This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.

© 2012 Austin Regional Clinic. All rights reserved.