Novasure Ablation

Is This a Medical Problem?


Discuss the results with your doctor

 

1. Do you often wear a tampon and a pad for double protection?
Always   Sometimes   Never
2. Does your bleeding last longer than 7 days?
Always   Sometimes   Never
3. Does heavy bleeding affect your social, athletic, or sexual activities?
Always   Sometimes   Never
4. Does heavy bleeding ever cause you to miss work?
Always   Sometimes   Never
5. Do you worry about having bleeding accidents during your cycle?
Always   Sometimes   Never
6. Do you ever avoid traveling or leaving home because of heavy bleeding?
Always   Sometimes   Never
7. Do you carry a change of clothes with you due to heavy bleeding?
Always   Sometimes   Never
8. Do you have to change your tampon or pad more than every 2 hours?
Always   Sometimes   Never
9. Do you have a family history of bleeding problems?
Always   Sometimes   Never
10. Do you pass blood clots (bigger than a nickel)?
Always   Sometimes   Never

Print this page and give it to your doctor.
When the printer-friendly preview loads, choose your answers before clicking the printer icon.

If you answered "always" or "sometimes" to any of the questions (especially if you are over 35 years old), make an appointment to see your doctor. You may have menorrhagia or a different medical condition that warrants attention. Print this page and bring it to your next doctor’s appointment.

Use this guide to help you have a productive discussion about your condition and your treatment options.

If you answered "never" to all of the questions, but you are still worried about your menstrual period, discuss your concerns with a doctor. Make an appointment to see your doctor.

Office Hours:

Monday - Thursday

8:30 AM - 4:30 PM

Friday

8:30 AM - 12:30 PM