Endometrial Cryoablation is a treatment to destroy the lining of the uterus and thus, to stop menstruation, by creating frostbite within the uterus. This is very useful for difficult bleeding problems in women who do not desire pregnancy. Cryoablation is performed in the office without the need for surgery or for general anesthesia. The commercial name for the procedure is the HerOption.
Who is a good candidate for the procedure?
Her Option may be the right option for a woman who is pre-menopausal, experiences abnormal uterine bleeding is due to benign causes and does not intend to become pregnant in the future. Her Option is not recommended for everyone. You are not a candidate if you intend to become pregnant, suffer from uterine cancer, or if you have certain types of uterine abnormalities.
How is Her Option different from other ablation procedures?
There are two types of ablation procedures—cryoablation and thermal ablation. Her Option uses cryoablation (cold temperatures) to destroy or eliminate the uterine lining. Because cold is a natural pain killer, anesthesia generally is not needed during this procedure. Thermal ablation, however, uses energy or heat to destroy the uterine lining and therefore requires some form of anesthesia. Unlike some thermal ablation procedures, Her Option does not require cervical dilation or distention of your uterus.
What will my period be like after the procedure?
The decrease in bleeding after a Her Option procedure varies from woman to woman. For some women, periods return to more “normal” levels. For others, bleeding is completely eliminated or they experience spotting just a few days a month.
What results have women experienced with Her Option?
About a third of patients have a complete loss of menstruation, while more than half will have a pronounced improvement. We find that about 90% of our patients are very happy with their results.
What are the drawbacks to having a Her Option procedure?
There are 10% of cases in which endometrial cryoablation will not be effective. Such patients may require additional treatment, such as a hysterectomy.
How long does the Her Option procedure take?
The procedure typically takes 20 to 30 minutes and is performed in-office. Most women do not experience pain during the procedure but may feel a sensation similar to menstrual cramps. Taking an over-the-counter medication such as ibuprofen before the procedure reduces any discomfort.
Watch video to learn more about Cryoablation Therapy.
How long will my recovery be?
Many women are able to leave the physician’s office in as little as 15 minutes or up to 2 hours. Limited activity is recommended for the rest of the day.