Cross-sectional study comparing paracervical and combined paracervical-fundal block for outpatient Novasure

Farheen Khan; Alina Shirazi; Neerja Gupta

doi:10.18203/2320-1770.ijrcog20252908

Authors

Farheen Khan Department of Obstetrics and Gynecology, Basildon and Thurrock University Hospital, Basildon, UK
Alina Shirazi Department of Obstetrics and Gynecology, Basildon and Thurrock University Hospital, Basildon, UK
Neerja Gupta Department of Obstetrics and Gynecology, Basildon and Thurrock University Hospital, Basildon, UK

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20252908

Keywords:

Combined paracervical fundal block, Endometrial ablation, NovaSure, Pain relief

Abstract

Background: This retrospective cross-sectional study aimed to evaluate whether the combination of paracervical and fundal block provides greater reductions in self-reported pain during NovaSure endometrial ablation compared with paracervical block alone.

Methods: Fifty women aged 45–60 years who underwent NovaSure endometrial ablation at hysteroscopy clinics were retrospectively analyzed.

Results: Participants who received the combined block reported significantly lower pain scores during the procedure (mean: 3) compared with those who received paracervical block alone (mean: 6). The overall procedural success rate was 76%. Complications occurred in 28% of cases, all of which were managed conservatively. Patient satisfaction was high, with 92% reporting satisfaction and 84% indicating they would recommend the procedure. Most participants experienced minimal pain and resumed normal activities within 1–3 days.

Conclusions: The combination of paracervical and fundal block provides superior pain relief compared to paracervical block alone during NovaSure endometrial ablation. This approach is associated with high patient satisfaction, rapid recovery and manageable complication rates.

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