Endometrial ablation will not be successful in about 10% of cases.
Treatment options are as per the “Ladder of AUB -E” described above.
It is possible to have a repeat endometrial ablation if the first has not been successful, with the same chance of success as noted above. It is not possible to have a second NovaSure endometrial ablation and a repeat procedure has to be a rollerball or resection type of procedure.
Hysterectomy following an endometrial ablation may be for failure of the treatment, or the development of a new problem such as a fibroid or pain.