Novasure vs. Myosure……which option is BEST for me?!?

Say What

I was recently asked to go over the differences between Novasure and Myosure……they are, after all, the same thing, right?!?!?

NOT! Aside from ending in -Sure and both being methods of addressing heavy bleeding/periods, that’s pretty much where the similarities end.

Novasure……the short of it:

-one of many types of endometrial ablations. It works by utilizing Radio Frequency to burn the lining of the endometrium(the layer of the uterus that is shed every month as your period)

-quick and easy. Takes less than 5 minutes to perform. This is actually one of the reasons I like Novasure. Some of the other ablative techniques take longer.

-while touted as  being able to be done as an in-office procedure, it has not been my experience that patients have done well tolerating this procedure in an office setting.

-one and done. Novasure boasts a 90% satisfaction rate. As with any type of ablation, whether it be Thermachoice, HTA(hydrathermablation), etc., the goal is eumenorrhea; more simply put, periods that are normal, and NOT interfering with your quality of life.

-this is NOT birth control. You should have some form of contraception in place as a pregnancy status post a Novasure procedure would be high risk at best.


-addresses structural causes of heavy periods……things such as polyps, fibroids, etc.

-done under direct, hysterscopic visualization. This is a sleek, innovative, less cumbersome method of removing the aforementioned. The visualization is pristine. The surgeon is able to see precisely what is being cut away, and the tissue specimen is readily captured for pathologic analysis.

I am a HUGE fan of both of these operating systems. Both treat heavy periods, just different causes.

Part of ANY workup for heavy bleeding/periods will include an ultrasound to diagnose an obvious source. There are NUMEROUS culprits for heavy bleeding/periods ranging from Ovarian, endometrial, structural(as noted above), etc. An endometrial biopsy, depending on your age and risk factors for endometrial cancer, is typically part of the workup as well.

In addition to Novasure, and Myosure, there are other minimally invasive, non-surgical options for addressing heavy periods. Be sure that your physician reviews ALL the options so that you can decide which choice is best for YOU!

If you want to know more about Novasure, and Myosure, please listen to episode 43 of the Ask Dr. Angela podcast here:

Ask Dr Angela 43

Hoping this blog post adds value to your day!

Until Next time,

Look Better. Feel Better. Be Better.

Dr. Angela

About Dr. Angela

Wife, mother, Midwesterner, and award-winning OB/GYN, Dr. Angela is equal parts best girlfriend and bold professional, supporting women’s health with innovative approaches to care and heavy doses of humor. Dr. Angela has done more than launch a successful practice, she has defined herself as a voice for a new generation of womanhood, established her ASK DR. ANGELA brand committed to authenticity, and built a community rooted in trust, candor, and compassion.


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