Heavy Periods and Treatment with Endometrial Ablation

(Originally Posted on Apr 30, 2014)

Do your periods cause more trouble than just a little discomfort and inconvenience? Do you experience intense pain, bleeding, and other symptoms that disrupt your life?

If so, you’re not alone: about one in five menstruating women (around 10 million) in the United States suffer from these symptoms.

These symptoms can interfere with a woman’s life and are typically longer and/or heavier than normal.

Common side effects of heavy menstrual bleeding

Women with heavy menstrual bleeding can also experience some or all of the following symptoms:

Aside from the physical symptoms, there are psychological and emotional symptoms as well. Studies have shown that nearly 60 percent of women with heavy periods experienced lack of confidence, and 70 percent had experienced their period interfering with their normal activities.

Heavy periods can also create anxiety and cause problems for a woman’s sexual confidence and relationships.

Blood loss related to menstrual periods is linked to anemia as well; about 40 percent of women with the condition develop anemia. This is often what causes fatigue for sufferers, and is triggered by iron loss due to heavy bleeding.


Before starting treatment for heavy menstrual bleeding, your doctor will make sure that the symptoms are not caused by other reasons. The evaluation may include a pelvic ultrasound, blood tests or a biopsy to sample the uterine lining.

Treatment Options

Today, women do not have to accept the unpleasant symptoms of heavy periods. If you are experiencing heavy, painful periods that cause you to miss work or other activities you enjoy, then it’s time to take charge and look into treatment options. Here are some popular choices:

NovaSure®  Endometrial Ablation

A permanent solution is called Novasure®: a safe, highly effective treatment that affects the uterine lining. Following the treatment, results are very reliable, with almost 80 percent of patients experiencing a complete halt to menstruation, with 98 percent reporting vast improvement.

Novasure® endometrial ablation takes only minutes, is performed under local anesthesia in the doctors office, and allows patients to return to work a day later. Because Novasure® often decreases menstrual flow significantly and sometimes stops menstruation altogether, it is only an option for women who are done having children.

This procedure can now be done right in our office and requires no general anesthesia and very little down time.


Contraceptives are often a good choice for women with heavy periods and still wish to keep their ability to bear children. Oral contraceptives are best in this case, as they do not affect fertility. However, the efficacy of this treatment is usually much less than endometrial ablation with Novasure®.

Intrauterine Devices (IUD) are also an option, providing more effective results than oral contraceptives as well as 5 years of continual contraception. However, there may be risks to fertility, which should be considered beforehand.

An OB/GYN You Can Trust

At Palm Beach Obstetrics & Gynecology, we strive to bring you the safest, most effective, and advanced treatments available. Our obstetricians and gynecologists are Board Certified and offer compassionate and skilled care.

For more information, please contact us at (561) 434-0111 to set an appointment in our Palm Beach Gardens, Lake Worth, or West Palm Beach locations.

Dr. Sam Lederman

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