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The NovaSure – Endometrial Ablation System, FDA approved in 2001, utilizes a metallized mesh electrode array that is introduced into the uterine cavity, applying bipolar electrical energy that creates heat to ablate the endometrium. The Novasure average procedure time is 5 minutes from device insertion to removal and is usually performed ...
Endometrial polyp. Polypectomy. Abnormal uterine bleeding; Adenomyosis; Endometrial ablation [10] (Some newer systems specifically developed for endometrial ablation such as the Novasure do not require hysteroscopy) Myomectomy for uterine fibroids. [1] Congenital uterine malformations (also known as Müllerian malformations). [2] [7]
Options include a hysterectomy and second generation endometrial ablation, with hysterectomy being more effective than second generation endometrial ablation. [16] A definitive treatment for heavy menstrual bleeding is to perform hysterectomy (removal of the uterus).
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The causes of AUB are divided into nine groups: uterine polyps, fibroids, adenomyosis, cancer, blood clotting disorders, problems with ovulation, endometrial problems, healthcare induced, and not yet classified. [3] More than one category of causes may apply in an individual case. [3] Healthcare induced causes may include side effects of birth ...
Some females who have undergone tubal ligation prior to an endometrial ablation procedure experience cyclic or intermittent pelvic pain; this may happen in up to 10% of women who have undergone both surgeries. [17]
Other causes are acquired, such as cervical stenosis, intrauterine adhesions, endometrial cancer, and cervical cancer. [ 3 ] Additionally, hematometra may develop as a complication of uterine or cervical surgery such as endometrial ablation , where scar tissue in the endometrium can "wall off" sections of endometrial glands and stroma causing ...
Hormonal therapies to reduce or stop menstrual bleeding have long been used to manage a number of gynecologic conditions including menstrual cramps (dysmenorrhea), heavy menstrual bleeding, irregular or other abnormal uterine bleeding, menstrual-related mood changes (premenstrual syndrome or premenstrual dysphoric disorder), and pelvic pain due to endometriosis or uterine fibroids.