NovaSure® A Minimally Invasive Procedure for Excessive Menstrual Bleeding & Endometrial Ablation

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Say goodbye to heavy periods once and for all.
No hysterectomy. No incisions. No pills. No hormones. No downtime.

Do heavy periods affect your life? You're not alone. In fact, experts estimate that excessive menstrual bleeding (also referred to as "menorrhagia") affects nearly 1 out of every 5 women – or about 10 million women in America. And yet, studies show that only a fraction of women seek treatment for heavy periods each year.


In part because many women are embarrassed to talk about their periods, even with their primary care doctor or OB/GYN. Other women simply believe that their heavy period is normal because it's been that way for years, while some are fearful of the treatment options available.

The Impacts of Heavy Periods

Excessive menstrual bleeding means more than just heavy bleeding; it can negatively impact a woman's life in a number of ways. More than 80% of women with abnormal uterine bleeding (AUB) say their heavy periods disrupt their physical, social and mental well-being. Women who suffer from AUB or excessive menstrual bleeding also miss more days of work/school and often wait years to receive treatment.


  • Periods that last several days
  • Having to change protection every 1 or 2 hours
  • Blood clots, anemia
  • You may feel tired and nauseated
  • You may experience bad cramps
  • Many women suffer chronic headaches


  • More than 60% of women have had to miss social or athletic events

  • About 80% of patients report avoiding sex

  • 33% have been forced to miss work


  • 77% of women have depression or moodiness

  • 75% feel anxious

  • 57% report a lack of confidence during their period

Regardless of which stage of life you're in — from adolescence to menopause and everywhere in between — know that excessive menstrual bleeding doesn't have to be a fact of life. Problem periods aren't something you have to live with or just "get used to." Many times, excessive menstrual bleeding is preventable and treatable.

NovaSure® is one such treatment option.

What You Should Know About NovaSure

If heavy periods are affecting your quality of life, then it's time to learn more about your treatment options — starting with NovaSure Endometrial Ablation (EA). NovaSure is a 5-minute, one-time, non-invasive endometrial ablation procedure that has been performed on over three million women.

During the NovaSure procedure, a woman's uterine lining—the endometrium—which is the part of the body that can cause heavy bleeding, is permanently removed through the rapid delivery of radio frequency energy. This procedure doesn't require any incisions and leaves your uterus intact.

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NovaSure is intended for premenopausal women with heavy periods who are finished childbearing.

The quick, permanent procedure can be done in your doctor's office and anytime during your cycle, even if you're bleeding.

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Here are some other helpful facts to know if you're considering the NovaSure EA procedure:


The cost of NovaSure varies by geography, insurance and other individual factors. In 2015, the average cost of an endometrial ablation procedure (without complications) was estimated to be $3,678. Compared to a $10,000+ hysterectomy surgery, this treatment is considered highly cost-effective and is often covered by insurance.


After treatment, most women (91%) reported normal bleeding or less, and many (41%) reported no bleeding at all. Many women also reported significantly less painful periods and PMS symptoms such as irritability. NovaSure was approved by the FDA in 2001.


While it's possible to get pregnant after NovaSure, your chances are greatly reduced and pregnancy can be dangerous for both the mother and baby due to the removal of your uterine lining. Talk to your doctor about using birth control after the NovaSure treatment.


One year after treatment, 93% of patients were satisfied with the results, and 97% said they would recommend NovaSure to a friend. NovaSure accounts for nearly 7 out of every 10 endometrial ablation procedures performed.


Patients can go home the same day and typically return to work in 1 or 2 days. No device remains inside your body after the procedure. Rapid recovery is one of the main benefits of a minimally invasive treatment like NovaSure!

Side Effects

Temporary side effects may include cramping, nausea, vomiting, discharge and spotting. Approximately 97% of patients don't experience pain during the treatment.

Can Endometrial Ablation Help You?

If you answer yes to any of the statements listed below or have more questions about excessive menstrual bleeding, consider talking to your OB/GYN doctor about NovaSure and other heavy period treatment options:

  • My period affects my quality of life.
  • I am bothered by the amount of bleeding during my periods.
  • My period makes me feel depressed, tired, anxious or moody.
  • I am afraid of having an embarrassing accident.
  • I have PMS symptoms, such as headaches, during my period.
  • I bleed more than once a month.
  • My period lasts too long.
  • My period affects my social, athletic or sexual activities.
  • I have a problem working due to my period.
  • My life would improve if I could decrease or completely eliminate my period.
  • I lack confidence due to my period.
  • I have less energy or a total lack of energy during my period.
  • I experience painful periods.

Choosing the Right Heavy Period Treatment for You

In addition to NovaSure, there are other treatment options for excessive menstrual bleeding including medication, hormonal contraceptives (like birth control pills or intrauterine devices, or IUDs) and surgery (hysterectomy).

Many times, determining the best form of treatment will depend on if you're planning on having children. Some treatment options temporarily limit a woman's fertility such as the pill, while others permanently remove a woman's ability to get pregnant like a hysterectomy or endometrial ablation.

Each woman experiences her period differently. It's important to talk to your doctor to find the causes and solutions for your excessive menstrual bleeding. Take your time when deciding which treatment option is right for you and carefully weigh all factors.

Patient Testimonials

"I had a very good experience at this office! I had some issues that gave me the end result of needing a hysterectomy. I first saw Dr. Cook, and let me say she is amazing! She made me feel comfortable and explained my situation to me and I felt well informed. Dr. Agrios did my surgery and he is amazing, as well! They show concern and have very good bedside manner. I recommend them to anyone who ask if I know any good doctors."
Overall Rating: 5.0 / 5
"The best obgyn ever! I've been going here my whole pregnancy and this is my first. The doctors and nurses make me feel wanted and calm me down when I'm scared. Dr. Agrios is really patient and soft spoken, which keeps me calm. Definitely recommend coming here for first-time moms!"
Overall Rating: 5.0 / 5
"This is the BEST gyn I have every been to. I have been seeing Dr. Cook for the last 4 years and think she is wonderfully compassionate and really takes the time to address any concerns and makes you feel taken care of. Also, most recently, the office staff has been so VERY helpful with helping me get my records sent off, which turned into a big ordeal, but they saved the day and were so wonderful during the whole process. "
Overall Rating: 5.0 / 5

Other Gynecological Services We Offer

Surgical Treatments

  • DaVinci Robotic Surgery
  • Hysterectomy
  • Advanced Hysteroscopic Procedures
  • Advanced Laparoscopic Procedures
  • Other minimally-invasive surgical procedures

In-Office Procedures

  • Advanced 3D/4D Ultrasound
  • Permanent Birth Control
  • Urinary Incontinence Testing
  • Colposcopy and treatment of abnormal pap smears

Preventive Healthcare Now More Affordable

You take care of everyone else in your family, now it's time to take care of you! Did you know that women's preventive health care such as mammograms, cervical cancer screenings, prenatal care, and other services are covered with no out-of-pocket expense for most women? Call us today to make your appointment. We will check on your insurance benefits for you and let you know if they have been updated.

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Compassionate North Florida OB/GYN Physicians

Looking for a Florida gynecologist responsive to your needs and concerns, combining compassionate care with the most advanced medical techniques? We're proud to provide the women of Gainesville, Lake City and surrounding areas with the most advanced gynecological care available, administered by an experienced, caring staff.

Contact us today to schedule your appointment.