Heavy Bleeding / Endometrial Ablation FAQ
Ask Dr. Brenner about My Flow!
What is a MyFlow Procedure?
MyFlow™ is a term Dr. Brenner uses to describe the endometrial ablation procedure performed in her 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. Dr. Brenner 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 www.AAAASF.org
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. Click here to watch Dr Brenner's MyFlow procedure.
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 — These are sensitive issues. That is why we have developed an all-female staff to help you feel comfortable. 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
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
No general anesthesia required
Uterus and natural hormones
One-time, permanent treatment
High success rate in reducing
How is the ablation procedure
- The 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
- Dr. Brenner will administer some
numbing medicine into the uterus
- Dr. Brenner will insert a small
catheter through the cervix into the
- Heat is then delivered into the
- The device is then removed from
How long will I be at the
The average time spent in our office is
about one hour and you will need to have
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
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 Thermachoice, 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 Thermachoice
III and Novasure procedures. 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
Call our office today at
513-777-0787 if your family is complete
and you’d like permanent relief from
your period…for good!
Dr. Brenner, MD & Associates - Women's Health Care and Gynecology - is pleased to serve patients from the following towns: Anderson, Blue Ash, Cincinnati, Fairfield, Finneytown, Hamilton, Harrison, Hyde Park, Indian Hill, Landen, Lebanon, Liberty Township, Loveland, Madeira, Mariemont, Mason, Middletown, Milford, Monroe, Montgomery, Norwood, Sharonville, Springboro, Trenton, West Chester.