NovaSure Endometrial Ablation Recovery: What to Expect

NovaSure (radiofrequency endometrial ablation) is a 90-second outpatient procedure for heavy menstrual bleeding. Recovery profile:

Immediate (Day 0–1)

• Cramping (menstrual-like) – NSAIDs (ibuprofen 600–800 mg q6h) usually sufficient.
• Watery/bloody discharge – use pads, not tampons.
• Nausea/dizziness from sedation – resolves in hours.
• Most return to desk work next day.

Days 2–7

• Discharge continues (pink/brown), decreasing daily.
• Mild cramping may persist; heating pad helps.
• No heavy lifting (>15 lbs), strenuous exercise, intercourse, tampons, baths/swimming.

Weeks 2–4

• Spotting may continue; first post-procedure period often lighter/absent.
• Gradual return to full activity.
• Intercourse typically cleared at 2-week follow-up if healing adequate.

Months 1–3

• Full endometrial regeneration assessment.
• Success defined as ≤spotting or normal flow (PBAC <75).
• Amenorrhea rates: ~40–50% at 12 months.

Red Flags – Call Provider

• Fever >100.4°F (38°C)
• Heavy bleeding (soaking pad/hr × 2 hrs)
• Severe pelvic pain unrelieved by NSAIDs
• Foul-smelling discharge
• Inability to urinate

Contraindications Reminder

Not for women desiring future pregnancy (fertility reduced but not zero—contraception essential). Not for active PID, known/suspected uterine cancer, or recent uterine surgery.

NovaSure offers rapid recovery vs. hysterectomy—most women resume normal life within days.