Endometrial Ablation?

My Girlfriend has been having some ongoing issues of, I belive the formal term is "Abnormal Vaginal Bleeding" and sometimes severe cramps. (Menorrhagia and Dysmenorrhea)
its been a chronic problem that over time got worse and worse and went pretty much unadressed.
she is currenly 27, and its been about 6 months since she first started getting it adressed.
her gynocologist has tried a variety of things, different birth controls and combinations, to no avail, as far as a D&C, which temporarily seemed to help, but ended up doing *ANOTHER* D&C a week later.
there were Polyps at the time of the first one, which were removed and tested and it was clear.
for a time there was a super-dose of estrogen(I don't remember the exact name of what it was, but you get the idea) which was able to stop the bleeding, but played havoc with emotions and such.

(continuing with more details)
(oh and yes, she does know I'm asking this, and is ok with it)

after being tapered off of the estrogen, ... the bleeding returned, despite the depo shot, this was about a month after the second D&C, so it was possible it was not that bad. .... but it didn't stop.

then tried ANOTHER birth control or something. this made the cramps different and worse, and didn't really help the bleeding.

after THAT, more estrogen. (and better pain medicine)

so, early on he(the gynocologist) had mentioned to her that if she was older, he'd have probably done an ablation or hysterectomy right off, but wanted to at least try less drastic measures and retain fertility if at all possible.

there are other irrelevant reasons that she would probably not be having children, and we've discussed it and all.

so the way its looking, loss of fertility is seeming more and more inevitable, and that itself we're pretty much dealing with.

(adding more)

In regard to your question about a repeat procedure after the Novasure, the answer is yes. Many people have had the same procedure or similar ones done after the first either hasn't worked, or only worked for some time.
I am 39 and had the Novasure procedure done about 18 months ago. I had experienced extremely heavy bleeding and abnormal cycles for years. My doctor told me that in my case the Novasure might not eliminate my periods entirely but would be likely to lighten them drastically. Amazingly, 18 months later, I have not had any periods. Not one drop. It sincerely changed my whole life.
The only reason I can imagine that the doctor would be reluctant to try that procedure is that heavy bleeding can be a sign of other problems (for example, the polyps you mentioned). The ablation could mask the symptoms of a greater issue. However, considering that she has had so many examinations, they should be able to rule out any serious problems. Before my ablation my doctor conducted uterine biopsies for that exact reason.
If she is sure that she does not plan to ever concieve, (because to the best of my knowledge, it can not be reversed) then I think Novasure is worth the consideration. I would definitely get a second opinion.
The best resource I can offer for more information on the topic is this site: http://www.endometrialablationdiscussion...
There are plenty of helpful people there who have been through all of this.
Good luck!

The Nova Sure is NOT a hysterectomy. It will clean the lining of the uterus, using a laser. It is not done to women who are in the child baring age. The chances of never being able to conceive are high. If all other options have been exhausted, this might be the thing for her. However, she needs to think about the long range outcome. There are other options. Perhap an IUD, a D&C with medications like Prometrium or a strong birth control There is also a shot called Lupron. This can eliminate periods. She really should talk to another doctor, and for sure seek counciling. There are so many things out there that can help, she just hasnt found the right one.Dealing with the emoitional issues is so much easier to deal with than what could happen. There are medications to help her with them as well. I would also have some blood work done to check for any bleeding disorders or anemia.
Good luck to her !!!