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Thursday, March 10, 2011

Are you NovaSure about this?



This will be my second post about drug ads this week...think of it as a series about  pharmaceutical advertisements. They provide me with all sorts of fun.

I just saw this ad for Nova Sure.  Even through the misty haze that the pharmaceutical company's ad campaign, I could see that this procedure was causing a whole lot of trouble. It was the diagram of a woman's uterine lining being magically thinned out that made the "warning" light start flashing. All I know about that is that a thin lining means a fertilized egg can't implant and grow - which means that life is created only to be immediately flushed out. So I googled. I started with "Is Nova Sure abortive?" (why not get right to it?)

10 minutes of reading, and I cannot believe that this procedure, also known as endometrial ablation, is being advertised as a treatment for heavy bleeding. This is serious stuff guys! What I read tells me that this procedure was experimental about 10 years ago, and since then has only been offered as an alternative to a complete hysterectomy. Once you've had this procedure, you should not ever get pregnant again - not only for the sake of your potential children, but for your own health's sake. That means you will have to sterilize yourself even though you can still conceive for the rest of your fertile years.

And don't mistake the procedure for being much less than a hysterectomy either. To summarize (while attempting to use graphic language), a triangular heating element is inserted into the uterus to cauterize the lining permanently. If you don't know what that means, please look it up. Or watch this video, and look up the definition of cauterize.

Other potential risks and side effects:
- Fusing of one side of the uterus to the other
- Undiagnosed cancer (makes it nearly impossible to do a future biopsy)
- Terrible cramping - "take me to the ER" level pain - immediately following
- Tearing, burning, or infection of the uterus

I'm not saying that there aren't people who need this procedure. When faced with EXTREME menstrual bleeding because of clotting issues, there are all kinds of life threatening conditions that can result (I read about one lady who lost so much blood monthly that she was passing out at stop lights). In cases like that, this can keep you from the dangerous procedure and long recovery associated with a hysterectomy. However, there is no mistaking that this procedure is serious! Read this "enlightening" testimony from a very well spoken Canadian woman from 2001 (when this was but an experimental procedure). But I just can't believe that this is being advertised as a way to deal with heavy periods - for a normal menstruation that is simply inconvenient and otherwise uncomplicated.

And yes, it is abortive. To quote the promotional website for the procedure: "Because NovaSure treats the lining of the uterus, your chances of getting pregnant after the procedure will be reduced. However, it is still possible to get pregnant if you’re sexually active." Right, because didn't treat the ovaries or fallopian tubes, so you can still GET pregnant, but you just can't grow that life in your body, and the baby will be flushed out (best case scenario).  "After the NovaSure® procedure, it is still possible to get pregnant. Since pregnancy after any endometrial ablation procedure is dangerous for both the mother and the fetus, you’ll need to rely on long-term birth control after the procedure. " Great guys. Nicely put.

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