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Surgery Guidelines

Pre-Procedure Patient Instructions for In-Office NovaSure
Post-Procedure Patient Instructions for In-Office NovaSure
Pre-Procedural Instructions for In-Office Cryoablation Therapy
Post-Procedure Instructions for In-Office Cryoablation Therapy
When You Are Home - Essure

Pre-Procedure Patient Instructions for In-Office NovaSure

We have scheduled you for an office procedure called a Hysteroscopy and NovaSure Endometrial Ablation to stop or significantly reduce heavy vaginal bleeding and associated symptoms. It is safe and effective, yielding high success rates. Although the NovaSure procedure itself takes less than two minutes, please allow two hours total time in the office for preparation, the procedure, and after treatment observation. Please do not bring any children to the office.

It is required that you have an adult who will accompany you to the office and drive you back home after the procedure. You will feel drowsy from the medication administered and some cramping from the procedure. You may drive and return to work the day following your procedure. If you take medications, be sure to take them as usual. Otherwise, you may not have anything to eat after midnight and only clear liquids until six hours prior to the procedure.

You will need to keep your appointment in the office one day prior to your procedure for a Laminaria insertion to dilate your cervix.

Additional Instructions:

  • Eat a light meal prior to coming to the office for your NovaSure Ablation
  • Wear a light blouse; you may get warm during the procedure
  • Have a driver with you. You will feel drowsy from the medications administered to you during the procedure.
  • You can plan on being at the office for about two hours. You will arrive 45 minutes before the actual procedure so that the medications will have time to take effect. The NovaSure procedure treatment cycle takes approximately 90 seconds.
  • You will experience some cramping during the procedure.
  • You will be given prescriptions to be filled and brought with you to the appointment.


Please have your prescriptions filled and bring them to your appointment.

  • You may want to purchase an abdominal heat wrap. If you choose, bring that with you and we will apply it before you leave the clinic.
  • It is OK if you are having your period on the ablation day.
  • If you have any questions prior to your procedure, please call our office.

Post-Procedure Patient Instructions for In-Office NovaSure

Expect vaginal discharge that is watery, pink, red, or brown in color for up to 2-3 weeks. If you experience bright read heavy vaginal bleeding, contact your physician.

No douching or intercourse until cleared by your doctor. Check with your doctor regarding the use of tampons.

If you have not urinated within 6 hours of your arrival home, please contact your doctor

Uterine cramping is normal following this procedure. You may use moist heat placed on top of your abdomen to ease the discomfort

Look for a temperature 100.2 or higher, foul odor or discharge. These are signs of infection which can occur 36 -48 hours after the procedure. If you observe this signs and symptoms: please contact your doctor immediately at 252-758-4181.

WARNING: If you experience difficulty breathing, bleeding that you feel is excessive, persistent nausea or vomiting, any pain that is unusual, swelling or fever, call your doctor immediately. If you find that you cannot contact your physician, but feel your signs and symptoms warrant a physician’s attention, go immediately to the Emergency Room closest to you.

Pre-Procedural Instructions for In-Office Cyroablation Therapy

You may have a light meal prior to coming to the office if desired. You will need to have fluid in your bladder for the procedure so be sure to drink (2) 8 oz. of water before you arrive at the office.

You can plan on your appointment taking about 1 hour. The actual procedure lasts for 1/2 hour but you will need to remain in the office for a short period after the procedure.

You may feel drowsy from the medication administered prior to and during the procedure. You should arrange for transportation to and from the procedure.

Post-Procedural Instructions for In-Office Cyroablation Therapy

You may experience mild to moderate cramping (like menstrual cramping) and pinkish watery discharge. This may last approximately 2 to 3 weeks. Use pads, not tampons during this time. No sexual activity for 2 weeks post procedure.

Call our office if you develop any of the following:

  • Fever of 100.4 or greater
  • Worsening pelvic pain
  • Nausea
  • Vomiting
  • Greenish vaginal discharge with odor

When you are Home

If you are experiencing cramping or backache, follow your doctor's instructions regarding pain medication.

(Describe) medication: ________________________________________________

You may feel faint or nauseous. Follow your doctor's recommendations regarding activity during the first 24 hours following your procedure.

Spotting or light bleeding is normal. If bleeding becomes heavy, or you become concerned, please contact your doctor.

You can have sexual intercourse after the bleeding stops and you feel comfortable, BUT you MUST remain on another form of birth control until your doctor tell you that you can rely on on the Essure device for birth control.

Please call your physician if your period is more than five days late.

In 3 months - Essure Confirmation Test

You will need to visit your physician three months after the Essure procedure to have a special type of x-ray test call the Essure Confirmation Test. The test is performed to make sure that both of your Essure micro-inserts are in the correct position and that both of your tubes are blocked so that you can be sure you can rely on the Essure micro-inserts for permanent birth control.

You MUST use another form of birth control, other than an IUD or IUS, until you complete the test and your doctor confirms that you can rely on the Essure device for birth control.

If you rely on the Essure device for birth control before completing the Essure Confirmation Test, you may get pregnant or have an ectopic pregnancy (pregnancy outside your uterus, but inside the body). Ectopic pregnancies can be life-threatening; so if you think you might be pregnant, please call your physician.

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