Womens Health Unit Team 2.jpgNovasure endometrial ablation is a treatment for heavy periods, and it is performed by destroying the lining of your womb using heat. It can only be performed after an assessment of your womb cavity by Hysteroscopy and an assessment of the lining of your womb by a biopsy. Some patients are not suitable for this treatment if they have an abnormally shaped womb cavity due to the presence of fibroids or an abnormality of development of the womb that is present from birth.

You will not be suitable for this treatment if your family is not complete, have pre-cancerous changes in the lining of your womb or a cancerous growth in your womb. You will need to continue to use contraception after the endometrial ablation.

Most of the Novasure endometrial ablation operations are performed under local anaesthetic in the Women’s Health Unit, located on the first floor via the Scarsdale entrance. The appointments are about 30-45 minutes long and they include pre and post-procedure consultations.

After the procedure, you may need to stay on the ward for 30-60 minutes before going home. In addition to the doctor performing the procedure, a staff nurse and a health care assistant will be present to assist the doctor and help support you. There is no need for you to fast before the procedure.

The procedure if performed by introducing a triangular mesh into your womb cavity, which is heated up using radiofrequency energy which destroys the lining of your womb. The actual treatment time on average takes about 90 seconds and can vary between 30 and 130 seconds.

You may experience some discomfort or pain during the procedure. Oral pain relief, local anaesthetic injection into the neck of your womb, and Entonox (gas & air) are options for pain relief available. You may need to stay on the ward for 30-60 minutes following the procedure if you feel dizzy, nausea or are experiencing ongoing pain.

Patients are advised to take two Paracetamol tablets and/or 400mg of Ibuprofen an hour before their appointment. Five minutes before the procedure is undertaken, you will be given a local anaesthetic injection into the neck of your womb and Entonox (gas & air) to breathe during the procedure.

You may be able to go straight home if you feel well enough, however, some people may need to stay on the ward for 30-60 minutes and then be allowed home.

You are advised to get someone to drive you home. You may need to take some regular paracetamol and/or Ibuprofen for the first 48 hours following the procedure.