In-Office Endometrial Ablation

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In-Office Treatment for Heavy Bleeding

Imagine life without your period!

  • Have greater confidence over your life and schedule
  • Avoid embarrassing accidents
  • Go on vacation without the fuss
  • Improve your overall quality of life
  • Enjoy swimming, hiking, and running, all stress-free
  • Wear any clothes or lingerie you want
  • Be liberated from feminine protection forever
  • Enjoy intimacy with your partner any time of the month

What is a MyFlow® Procedure?
MyFlow® is a term we use to describe the endometrial ablation procedure performed in our office.  Let’s face it, “endometrial ablation” is a difficult word to pronounce, let alone remember.  Since there are different technologies used in the endometrial ablation procedure, we find it easier to discuss our entire service as the MyFlow® procedure to avoid any confusion.  One of our providers will determine the appropriate technology to use based on the individual circumstances and evaluation of each patient.  We simply ask you to tell your friends about the MyFlow® procedure, and we will take care of the rest!

My doctor only does these procedures in the hospital and is requesting I go to the hospital to have it done.  Why?

I cannot speak for your doctor.  There may be specific reasons relating to your care.  However, over 95% of our procedures are done in our office.  We specifically designed our practice to specialize in office-based procedures.  On rare occasion we perform these procedure in a hospital setting for a handful of insurance carriers, based on their reimbursement policies.  Most carriers support doing these procedures in the office and the trend is clearly moving in that direction.

In addition, our office is independently owned by Dr. Brenner.  We are not owned by, or affiliated with, any local hospitals or networks.  Therefore, we do not have any agreements or expectations of performing these procedures at the hospital.  We believe the best option for the patient should be the only guide in determining where the procedure takes place.  If cost (including patient out of pocket cost) is a main consideration, then we know that having the procedure done in our office is the clear-cut choice for the patient versus a hospital setting, when appropriate.

Is it safe to have these procedures done in the office instead of the hospital?

Our office is one of the few facilities in the area to receive accreditation from AAAASF – The American Association for Accreditation of Ambulatory Surgery Facilities.  AAAASF is recognized as the Gold Standard for accreditation in medical facilities.

What is the significance of AAAASF accreditation?
AAAASF was established in 1980 primarily to improve the quality of medical and surgical care in ambulatory facilities around the country.   Our facility has been inspected by AAAASF and certified that we have met 100% of the rigorous standards set by AAAASF for accreditation.  From the patient perspective, you can be comfortable knowing patient safety is at the forefront of everything we do. The accreditation also qualifies our facility to offer IV sedation to our patients when performing office-based procedures.  Click here to learn more about AAAASF Accreditation

What do you mean by IV sedation for your procedures?
There are two primary methods of delivering patient comfort during office-based procedures: Local anesthesia and IV sedation.  Approximately 95% of our office procedures are currently performed under IV sedation.  Dr Brenner feels this is the best experience for the patient as there is no pain felt during the procedure and no memory of the procedure taking place.  In fact, Dr, Brenner chose IV sedation for herself when having the MyFlow® procedure done.

In the occasional instance where the patient wants or needs to use local anesthesia instead of IV sedation, Dr Brenner utilizes nationally recognized protocols to ensure a comfortable patient experience.

What are the advantages of having the procedure done in your office instead of the hospital?

The primary advantages to having procedures in our office can be summarized as follows:

  • Expertise — We are a AAAASF accredited specialty GYN office.  This is all we do.  Our practice was designed specifically for this purpose.  Additionally, Dr. Brenner is a leading expert on the endometrial ablation procedure and has taught doctors all over the country on her best practices.  We have wonderful hospitals in Cincinnati, but they are designed to service many specialties of medicine.
  • Convenience —  The average time in our office is usually only one hour (two at the maximum).  Our patients tell us they spend significantly more time at the hospital for this procedure.  Additionally, your family member can relax in our comfortable waiting room with coffee bar.  You can even park right at our door!
  • Cost — Let’s face it, this is important to everyone.  Generally speaking, we see a distinct difference in cost by having a procedure performed in an outpatient setting (hospital) versus an office setting.  A primary difference often lies in the charge for the use of the hospital or outpatient facility, commonly known as a facility fee.  Our agreement with your insurance carrier indicates that procedures done in our office are treated as an “office visit” and, therefore, do not incur a facility charge.  In many cases it may just involve an office visit co-pay from the patient.

What does the procedure cost?

The procedure is recognized as a covered service by all the major insurance carriers.  That is great news.  From there, you must determine your individual deductible and/or copay requirements.  Our schedulers are experts at assisting you in working with your insurance company to determine your potential costs.  If you are considering having this procedure done in the hospital, we urge you to check with your insurance carrier first to understand any potential out of pocket cost differences.  Our patient have told us that this alone saved them hundreds, and in some cases thousands of dollars.  The following links are also helpful in determining your costs if you are insured by one of these carriers:

What are the benefits?

  • It is quick, simple, safe, convenient and effective
  • Minimal or no discomfort as compared to surgery
  • The procedure can be performed at any time during your cycle, even during your period
  • No incisions or cutting
  • Quick return to normal activities
  • Hormone Free
  • No general anesthesia required
  • Uterus and natural hormones remain intact
  • One-time, permanent treatment
  • High success rate in reducing bleeding

 How is the ablation procedure done?

  • Endometrial AblationThe application of heat  is intended to treat and permanently remove the endometrium, to reduce or eliminate future bleeding.
  • You will take some medications to help relax the uterus and a mild sedative
  • Dr. Brenner will administer some numbing medicine into the uterus
  • Dr. Brenner  will insert a small catheter through the cervix into the uterus
  • Heat is then delivered into the uterus
  • The device is then removed from the uterus

How long will I be at the office?
The average time spent in our office is about one hour and you will need to have someone drive you home.

Where is the procedure done?
The endometrial ablation procedure is done in our AAAASF accredited office by our caring, experienced staff. You will not have to go to a hospital

What will I feel during the procedure?
While some women may feel slight cramping, others may not experience any discomfort at all.  Patients choosing IV sedation feel no pain and have no memory of the procedure.

Will I be uncomfortable or have pain after the procedure/How long will my recovery be?
Some women report menstrual-like cramps after the procedure. Most women report feeling back to normal by the morning after the procedure. A mild pain medication will be prescribed.

When can I go back to work?
Most women return to work and family duties the very next day.

Is it safe?
The surgical risks associated with this minimally-invasive procedure are rare. The devices used have safety features and have been used in the hospital setting for over a decade.

I have heard of other ablation devices such as Novasure or Hydrothermal ablation.  Which one does Dr. Brenner use?
Dr. Brenner is a national speaker and preceptor for minimally invasive procedures.  This means she is one of the leading experts on this procedure anywhere in the country.  She teaches physicians all over the country about ablations and Essure.  She has been a consultant for several devices in the past including the Novasure, Thermachoice and Microwave ablation technology.  She is continually evaluating the medical literature about the most up-to-date and best in class treatments for her patients.  This is why at this time, Dr. Brenner chooses to perform and consult on the Novasure procedure.  She will customize the treatment based on your symptoms, uterine size and specific uterine cavity.

Am I a candidate?

  • Pre-menopausal women who have completed childbearing may be candidates for the MyFlow® procedure.
  • Dr. Brenner will perform diagnostic tests to rule out any abnormal uterine conditions and malignancy. Pap test and biopsy must be normal.
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