Endometrial Ablation (Genesys Hta® System)

Overview

During this procedure, which takes about 30 minutes to complete, the physician uses heated saline to destroy the endometrial lining of the uterus. This procedure is an effective method for the treatment of abnormal vaginal bleeding, especially heavy menstrual bleeding.

Preparation

In preparation for the procedure, the patient is positioned and local anesthesia is administered. The physician inserts a speculum into the vagina to allow access to the cervix.

Accessing the Uterus

The physician carefully inserts a probe containing a tiny camera through the cervix and into the uterus. The camera will allow the physician to observe the uterus during the procedure.

Treating the Uterus

The physician irrigates the uterus with saline solution introduced through a channel in the probe. Gradually, the temperature of the saline is raised. This heated fluid destroys the layer of endometrial tissue that lines the uterus. Once the treatment is complete, the heated fluid is replaced with cool saline.

End of Procedure and Aftercare

When the procedure is finished, the patient will rest briefly in a recovery room and will then be allowed to go home. The physician will provide specific aftercare instructions. In the days after the procedure, a layer of scar tissue will form to replace the destroyed endometrial lining in the uterus. Most women will have little or no menstrual bleeding following the ablation. Because the uterus will no longer be healthy enough to support the proper development of an embryo, effective birth control or sterilization must be used to prevent pregnancy after ablation.