Articles Related to NovaSure
Outcome of Impedance Bipolar Radiofrequency Ablation (Novasure) for the Management of Heavy Menstrual Bleeding in Women with Scarred Uterus
26 women with HMB and scarred uterus were included in the study. Data regarding procedure completion, complications, hospital stay, success rate and failure of procedure necessitating hysterectomy was obtained. The majority of the patients had one C/S, 5 had two, one had 3 and two had 4 previous C/S scars. The procedure was completed in 84% of cases. Success rate was 68% (15/22) in the scarred uterus group and 32% (31.8%) (7/22) needed hysterectomy due to continuing heavy periods or pain. One woman in the scarred uterus group had uterine perforation (3.8%) needing overnight admission, all the rest of cases were done as a day procedure. A third (7/22)(32%) of women required a hysterectomy for persistent heavy bleeding or pelvic pain, all were with previous one C/S. The histology of the removed uterus confirmed leiomyomas with or without adenomyosis in all the cases explaining the possible cause of failed Novasure ablation.
NovaSure® endometrial ablation is a successful therapy for patients with heavy menstrual bleeding who do not want to preserve fertility. However, endometrial ablation is not a contraceptive treatment. We report two cases of pregnancy after NovaSure® endometrial ablation. Case 1 is a pregnancy in a 44-year old woman.