Menstrual problems are common; most settle over time or can be treated with either simple medication or a Mirena system (a device placed in the womb that contains a progesterone type of hormone). Those women with persistent problems may consider endometrial ablation or resection.
We use NovaSure endometrial ablation, and you can find more details on the NovaSure website.
These procedures are simple alternatives to hysterectomy (surgical removal of the womb). They are particularly suited to women with heavy or prolonged menstrual bleeding but are not so effective in controlling menstrual pain or cramps. These procedures will not be possible to perform if the womb is excessively enlarged (because of fibroids) and before treatment any abnormal bleeding may need to be investigated.
Endometrial ablation and resection are only offered to women that have completed their family and do not wish to have any more children. It would be difficult to fall pregnant after one of these procedures but if pregnancy does occur, it is often associated with complications, and may be quite dangerous. A secure method of contraception is therefore advised after treatment.
The resection procedure may, however, be used in a number of women with fertility problems and found to have small fibroids that have grown into the womb cavity. The aim in these women is to remove (resect) the fibroids leaving the womb lining (endometrium) intact. Most fibroids, however, cannot be removed using this method.
If the procedure is not effective the first time, it can occasionally be repeated. More commonly, however, an alternative treatment should be considered as a repeat procedure may be more complicated.