Can the Genesys HTA System Help You?

Can the Genesys HTA System Help You?

worried womanMenorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. With menorrhagia, you can’t maintain your usual activities when you have your period because you have so much blood loss and cramping. The following symptoms may be symptomatic of menorrhagia:

  • Periods lasting longer than seven days
  • Soaking through one or more sanitary pads or tampons in an hour
  • Menstrual flow that includes large blood clots
  • Menstrual flow that is heavy enough to interfere with your daily activities
  • Fatigue or other anemia-like symptoms

Although heavy menstrual bleeding is not uncommon, most women do not experience blood loss severe enough to be diagnosed as menorrhagia. The most common causes of menorrhagia are:

  • Hormonal Imbalance – An imbalance of estrogen and progesterone—hormones that control the buildup and monthly shedding of the endometrium, the inner lining of the uterus—can lead to heavy periods.
  • Uterine Fibroids & Polyps – These usually benign (non-cancerous) structures can occur almost anywhere in the uterus. Fibroids and polyps may contribute to heavy periods.
  • Infection – Infections of the uterus and cervix may cause heavy bleeding.
  • Bleeding Disorders – Disorders that impair the blood from coagulating and clotting can result in excessive menstrual bleeding.
  • Uterine Cancer – A rare, but potential cause of menorrhagia. For this reason, your doctor will determine the cause of your menorrhagia before deciding on a treatment option.


What is the Genesys HTA System?

Genesys HTA System

The Genesys HTA System is a hysteroscopic thermal ablation device intended to ablate the endometrial lining of the uterus in premenopausal women with menorrhagia (excessive uterine bleeding) due to benign causes for whom childbearing is complete. The treatment uses a sheath that is employed by your physician to perform an endometrial ablation. The system allows saline heated to 90°C (194ºF) to be circulated in the uterus.

After a slight dilation of the cervix, a slim procedure sheath will be placed in your cervix. Your uterus will be filled with room temperature saline. The saline will conform to your uterus and circulate throughout the procedure. Your physician will then look inside your uterus with a hysterscope, or a small camera, that fits inside of the procedure sheath.

The saline circulating in your uterus will then be heated to 90°C (194ºF) by the Genesys HTA System Console. As the heated saline comes in contact with the uterine walls, the saline will begin to heat the endometrium. This heat is intended to destroy the endometrium. This treatment cycle takes about 10 minutes.

smiling woman having coffeeAfter the treatment cycle has been completed, the uterus will be flushed with cool saline. The cool saline is drained and the procedure sheath is removed. Once treated, most women no longer experience the symptoms or effects of a heavy period. Many women stop having their period altogether.

Who Is A Candidate?

  • You may be a candidate for the Genesys HTA System procedure if you are seeking relief from the symptoms of heavy menstrual bleeding and:
  • Feel your heavy bleeding interferes with your quality of life
  • Are frustrated or depressed by your heavy bleeding
  • Wish to potentially avoid a hysterectomy or the side effects of hormone therapy for treatment of your heavy bleeding
  • Are premenopausal
  • Are not interested in having (more) children


Who Is Not a Candidate?

Genesys HTA System therapy is not an appropriate treatment for your heavy menstrual bleeding if:

  • You are pregnant
  • You may want to have (more) children
  • You have gone through menopause
  • In addition, Genesys HTA System therapy is not appropriate if:
  • You have an active genital or urinary tract infection
  • You have an active pelvic inflammatory disease or pyosalpinx
  • You have known or suspected endometrial carcinoma or premalignant change to the endometrium, such as adenomatous hyperplasia
  • You have an anatomical or pathologic condition in which weakness of the myometrium can exist, such as a classic cesarean section (vertical incision) or transmural myomectomy
  • If you have an intrauterine device, (IUD) it would need to be removed prior to an ablation


Risks and Considerations

Possible risks for all endometrial ablation procedures are:

      • Perforation (creation of a hole) of the uterus
      • Bleeding; infection
      • Injury to organs within the abdomen (e.g., bowel) and pelvis or to adjacent tissue (e.g., cervix and vagina)
      • Post-ablation tubal sterilization syndrome (a complication in women who have undergone tubal sterilization following endometrial ablation which can occur as long as 10 years after your ablation)
      • Delayed diagnosis of cancer of the endometrium

The risk of serious injury such as perforation (creation of a hole) of the uterus and injury to internal organs with the Genesys HTA System is low. However, there is a risk that heated fluid may leak out of your uterus during the procedure and result in a burn to your vagina or surrounding areas. These burns are usually treatable by your doctor with medicated cream. In very rare cases it may be necessary to seek specialized care from a burn center.

Dr. Kathryn WhiteIf you are distressed by heavy menstrual bleeding and believe your options are to wait until menopause or to have a hysterectomy, there may be other choices for help without major surgery. Contact Dr. White’s office today for an appointment.





Content provided by Boston Scientific Corporation.



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