The size and shape of the uterus must be fairly normal in order to use the system. Fibroids or large polyps inside the cavity of the uterus will interfere with the placement of the device. In that situation I would first use a resectoscope to remove the fibroids or polyps, and would then would do the ablation. The Novasure system, however, is the only FDA approved device that was tested and found to be safe and effective in patients with smaller polyps, up to 2 cm, without having to first remove the polyps. It can also be used to treat a uterus that has fibroids as long as the fibroids do not distort of the shape of the cavity.

Last edited by Jehnavi; 05/17/10 03:34 AM.