In Office Procedures
Today there are a number of procedures safely performed in the comfort of your doctor’s office, under local anesthesia. Some eligible patients may have lower out-of-pocket costs if the procedure is performed in this lower cost of care setting, such as a physician office.Your physician will recommend the best approach for you.
NovaSure® and Thermachoice® are both a non-surgical office based endometrial ablation procedure used to treat the lining of the uterus (endometrium) in women experiencing heavy menstrual periods. Your physician may recommend either procedure when birth control pills have been ineffective or have produced undesirable effects such as weight gain, moodiness etc.
Novasure is a safe procedure using radio frequency energy (radio waves) to permanently remove the uterine lining (endometrium). The procedure is performed by your physician gently inserting a thin wand, with a mesh array, into the uterus. Once the mesh has conformed to the uterine wall, a radio frequency is generated for about 90 seconds and the wand with the array is then removed. Similar to the results from Thermochoice®, the uterine lining will be shed over the next week to 10 days. Results have included a significant reduction in menstrual bleeding, stopped periods, reduced PMS symptoms and reduced pain and cramping.
Called “global endometrial ablation”, and performed by your physician, this safe 8-minute procedure removes the endometrium using a soft flexible balloon that is inserted into the uterus and filled with fluid. The fluid is then heated and the gentle heat produced causes the uterine lining to shed within 7-10 days, much like a period. The majority of the women receiving the procedure report satisfaction, with results lasting up to five years after treatment. For many, periods stopped completely or menstrual bleeding was significantly reduced. Other results included reduced pain and cramping and reduced PMS symptoms.
Note: Pregnancy after any form of endometrial ablation is a rare but possible event and the risk of complications is increased
Essure® Tubal Ligation
Essure® Tubal Ligation is a non-surgical procedure that seals off a woman’s fallopian tubes that carry an egg from the ovaries to the uterus. By blocking these tubes, where fertilization usually occurs, sperm is unable to reach the egg to fertilize it. The procedure uses two small metal springs (micro-inserts) that are inserted into the fallopian tubes. This causes scar tissue to form and permanently blocks off the tubes. The procedure is performed in an outpatient environment, takes about 30 minutes and does not require anesthesia. Patients should be aware that the procedure provides permanent birth control and is NOT reversible.
Hysteroscopy is an office or hospital based procedure that is used to look inside the uterus. It utilizes a hysterscope, a slender telescope-like device, which is inserted into the uterus. The procedure is commonly used to:
- diagnose or treat uterine problems associated with abnormal bleeding
- to help with the diagnosis of frequent miscarriages
- to locate an intrauterine device
- remove adhesions caused by infection or past surgeries
- perform sterilization procedures
Women who are pregnant should not have the procedure.