What is Endometrial Ablation?
Endometrial ablation is a highly effective, minimally invasive outpatient procedure designed to permanently reduce or completely stop abnormally heavy menstrual bleeding by carefully destroying the endometrium, the tissue lining inside the uterus.
At Miami Women’s Center, we specialize in NovaSure® endometrial ablation, which delivers a customized dose of radiofrequency energy to the uterine lining without any surgical incisions — an excellent, low-risk alternative for women who want relief from heavy periods without a hysterectomy.
Request an AppointmentWhat to Expect During and After the Procedure
Our clinical team ensures your treatment is managed with maximum comfort and safety:
During the Procedure
- Comfort options: NovaSure can be performed under mild intravenous sedation or local anesthesia.
- Quick treatment cycle: The entire process takes only a few minutes, with a safety check run before treatment activates.
After the Procedure
- Immediate discharge: Recovery in our suite for about an hour before returning home with a companion.
- Typical recovery: Mild cramping for 24-48 hours, managed with over-the-counter pain relievers.
- Post-procedure discharge: A pinkish or watery discharge for a few weeks is normal as the uterine cavity heals; most patients return to work within 1-2 days.
If abnormal bleeding is related to fibroids or polyps rather than the lining alone, our fibroid and mass management page covers additional options.
Frequently Asked Questions About NovaSure®
Endometrial Ablation at Miami Women’s Center
How does the NovaSure® procedure work?
Your gynecologist inserts a slender wand into the uterus, where a netted mesh matrix expands to fit your uterine cavity. Radiofrequency energy is delivered through the mesh for about 90 seconds to treat the lining, then the mesh is folded back and removed.
What are the main benefits of NovaSure®?
Benefits include high success rates (about 90% of women get dramatically lighter periods, nearly half stop bleeding entirely), no hormones required, a fast treatment time under 5 minutes, and no downtime with same-day discharge.
Who is an ideal candidate for NovaSure®?
NovaSure is designed for premenopausal women with heavy periods from benign causes who’ve completed childbearing. It isn’t suitable for women who still want to become pregnant, those with active pelvic infections, or certain structural uterine abnormalities like large fibroids.
Can I still get pregnant after an endometrial ablation?
Pregnancy after ablation is highly dangerous since the uterine lining can’t safely support one, but ablation is not birth control — ovulation still occurs. Reliable contraception is required until menopause is complete.
How long does the improvement from NovaSure last?
Many women experience lasting reduction in bleeding for years, though results can vary, and a small percentage of patients eventually need additional treatment if symptoms return.
Will I still get a period after endometrial ablation?
Most women experience significantly lighter periods, and many stop having periods altogether, though light spotting or a very light flow can persist for some patients.
Is NovaSure covered by insurance?
Coverage varies by plan. Our staff can help verify your specific benefits before scheduling — visit our insurance page for more.