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[edit] Endometrial Cryoablation
Endometrial Cryoablation is a new technique that is used to treat women with heavy and painful periods. This procedure was designed with
the intent to provide a relatively painless,well tolerated office-based treatment for heavy periods (also known as menorrhagia) because:
Sub-zero temperatures provide a natural anesthetic. IV sedation is not required. It is offered in the doctor's office.
How it Works
Endometrial Cryoablation is a safe and effective ablation procedure. It uses sub-zero temperatures (cryoablation) to reduce
or eliminate excessive menstrual periods. The cold temperatures destroy the endometrium (the uterine lining), which is
responsible for menstrual bleeding. When the endometrium is eliminated, there is less tissue to shed each period, and
therefore, dramatically less or no menstrual bleeding.
Cryoablation has been used for years in the treatment of uterine fibroids, prostate and liver cancer. Cryoablation has many
dermatologic and gynecologic applications, and gynecologists are quite familiar with it.
Other endometrial ablation processes use energy or heat to eliminate uterine lining. Unfortunately, heat ablation (also
called thermal ablation) more often causes scarring that can make possible future cancer detection difficult. In addition,
heat-based ablation often requires general anesthesia or IV sedation, expansion of the uterine cavity and dilation of the
cervix.
What patients are candidates for the procedure? If a patient is pre-menopausal, past childbearing and if your excessive
uterine bleeding is due to benign causes. Endometrial cryoablation (Her Option) efficacy reveals that at two years post-
treatment, 91 percent of patients were very or extremely satisfied with treatment results.¹
The Procedure
Cryoablation it is the only endometrial ablation process available in the doctor's office rather than a hospital or surgical
center.
Prior to starting, the physician administers a pain reliever and a mild sedative. A slim probe is inserted vaginally through
the cervix and into the uterus. The probe is slender, so it requires little to no cervical dilation. Once in place, the
cooling process begins, and the probe freezes tissue symmetrically around its tip. After several minutes, the physician will
warm the endometrium for one to two minutes and then repeat the freezing. After a brief warming cycle, the procedure will be
finished.
Endometrial Cryoablation therapy generally takes about 20 minutes. Most women do not experience pain during the procedure. Most commonly,
patients feel mild pressure or a cramping sensation (similar to menstrual cramps) after the procedure. Over-the-counter anti
-inflammatory medication and/or analgesic taken before the procedure can help reduce any discomfort.
After the procedure, most patients will be observed for 30-60 minutes in the office and then discharged. The majority of
patients resume normal activities that day or the next.
Results
Endometrial cryoablation is effective in reducing or eliminating excessive periods. A recent study showed the
following results:
At 24 months, 91% of patients were very or extremely satisfied with treatment results.¹ A full 96% of patients would recommend Her Option to a friend.
Endometrial Cryoablation is not recommended for everyone.
Any patients that intend to become pregnant, would not be a candidate for endometrial cryoablation because the procedure
destroys the endometrial lining that must be intact during a normal pregnancy. Cryoablation also is not recommended for
patients with uterine cancer, an active urinary tract infection, pelvic inflammatory disease, an IUD or some types of uterine
abnormality.
Risks
As with any procedure, risks are involved. Some risks are bleeding and infection. Uterine perforation has been reported,
although rare.
1. Townsend DE, Duleba AJ, Wilkes MM. Durability of treatment effects after endometrial cryoablation versus rollerball
electroablation for abnormal uterine bleeding: two-year results of a multicenter randomized trial. Am J Obstet Gynecol Mar.
2003 v. 188(3) p.699-701.
[edit] Speedy deletion of Endometrial cryoablation
A tag has been placed on Endometrial cryoablation requesting that it be speedily deleted from Wikipedia. This has been done under section G12 of the criteria for speedy deletion, because the article appears to be a blatant copyright infringement. For legal reasons, we cannot accept copyrighted text or images borrowed from other web sites or printed material, and as a consequence, your addition will most likely be deleted. You may use external websites as a source of information, but not as a source of sentences. This part is crucial: say it in your own words.
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If you think that this notice was placed here in error, you may contest the deletion by adding {{hangon}} to the top of the article (just below the existing speedy deletion or "db" tag), coupled with adding a note on the article's talk page explaining your position, but be aware that once tagged for speedy deletion, if the article meets the criterion it may be deleted without delay. Please do not remove the speedy deletion tag yourself, but don't hesitate to add information to the article that would would render it more in conformance with Wikipedia's policies and guidelines. Fabrictramp 22:49, 11 November 2007 (UTC)
