Why Doctors Use It?
When looking at options to treat your heavy bleeding problem, your doctor will consider your medical history and condition. She/He will review the pluses and minuses of each of the available options to treat your condition.
The FDA has determined the Minerva System to be safe and effective when used to treat menorrhagia or excessive bleeding. 92% of treated patients reported bleeding reduced to normal levels one year after treatment. 66% patients had their heavy bleeding completely eliminated one year after treatment. The Minerva Treatment is also quick, lasting on average, just 3 to 4 minutes.
Who Cannot Have This Done?
The Minerva System should not be used in patients who have, or had, the following conditions:
- Currently pregnant or wants to become pregnant in the future. PREGNANCY AFTER ABLATION CAN BE DANGEROUS FOR BOTH MOTHER AND UNBORN BABY.
- Known or suspected cancer of the uterus.
- Any weakness of the wall of the uterus. This may be due to past surgeries or long-term use of some medications. Talk to your doctor for more information.
- Had an endometrial ablation in the past. Repeat ablation can cause serious injury.
- Current infection, for example of the uterus, ovaries, bladder or other organs. This procedure should not be used if you have an infection. Any infection must heal before the ablation procedure can be scheduled.
- Intrauterine device (IUD) in the uterus. Patient must agree to remove the IUD before the treatment.
- Patients with Essure™. It is not known whether the Minerva Treatment is safe and effective in patients with the Essure™ procedure.
- A patient with a very small uterus should not have the treatment because it may result in injury. Your doctor will measure your uterus to see if it is too short or too narrow for the Minerva Treatment.
Benefits of the
The Minerva Treatment can be done at any time during the menstrual cycle. It is a 3 to 4 minute treatment that can be done in a clinic, and you do not need general anesthesia. Clinical studies tested the Minerva device and found that at one year after the Minerva Treatment the following benefits were seen:
- 92 of 100 patients had their heavy bleeding reduced to a normal level or less.
- 66 out of 100 patients had no bleeding.
- Over half of the patients with menstrual cramping said that it decreased after the Minerva procedure.
- Patients had an improvement in sexual satisfaction.
- Patients had more energy to perform work and other activities outside their home.
- 98 out of 100 of the patients who answered the survey were satisfied with the results.
- 99 out of 100 of the patients who answered the survey would recommend Minerva to a friend or relative
Here’s what you can expect
Before, During, and After the Minerva Treatment.
What Happens Before Treatment?
Before treatment, you will be taken to the treatment room. The nurse will take your blood pressure, temperature, and other important information. Nurses will likely tape a number of wires on your chest to keep track of how well your heart is working.
You will also be given some medication to help you with any pain and make you relax. An oxygen mask may also be placed on your face to help you breathe. Your doctor’s assistant will prepare you for the procedure by cleaning your vagina with a special solution that kills germs.
What Happens During Treatment?
At the time of the procedure, the doctor will insert a speculum (a medical tool that opens your vagina) so that your doctor can see inside. The doctor may make your cervix numb so that you do not feel pain during the procedure. Based on this procedure, the doctor may determine that you are not a candidate for treatment with Minerva. In that case, the doctor will talk to you about other options to treat your heavy menstrual bleeding.
The doctor will turn on the Minerva Controller, and then gently dilate (open) your cervix to insert the soft tip of the Minerva device into your uterus. The Minerva Controller will then provide energy to heat the inside of your uterus for 2 minutes. At the end of the treatment, the doctor will remove the device from your uterus. The entire treatment, from the time the device is inserted until the device is removed, usually takes less than 4 minutes. No part of the Minerva device remains in the uterus after the treatment.
What Happens After Treatment?
After treatment, you will be taken to a recovery area where you will be watched for about 1 hour to make sure you are okay. You may experience some mild to moderate low abdominal cramping and pain. The recovery room nurse may give you some medication for this. You will then be released to go home. It is important that someone is with you to take you home. You cannot drive immediately after the procedure because of the drugs you were given.
Most patients experience some mild low abdominal pain for a day or so, which usually is treated with over the counter (non-prescription) pain medication that your doctor will recommend. Patients also reported vaginal discharge following the procedure. During the first few days, the discharge is likely to be bloody in color, but it will gradually turn clear. The total time of vaginal discharge is expected to last for two to four weeks, so you will need to wear some sanitary protection (for example a panty liner) during this time.
When to Call Your Doctor?
Your doctor’s office will likely call you to check on you after your treatment. However, if after the procedure you are experiencing increasing pain, increased bleeding, change to greenish vaginal discharge, or have a fever greater than 100.4°F, immediately call your doctor’s office. In rare cases, endometrial ablation can cause a serious injury that, if not treated promptly, can lead to death.
If you call your doctor at night or on a weekend, your doctor’s office will likely have an answering service that will put you in touch with your doctor or the doctor on-call. If you are not able to talk to your doctor, call 911 or go to the nearest Emergency Room.
What were the results of the Minerva Clinical Study?
At one year after the Minerva Treatment, 92% of patients had bleeding that was reduced to a normal level or less, and 66% of patients treated completely stopped their monthly periods. 81% of patients reported a decrease in symptoms like moodiness, irritability, vaginal dryness and hot flashes. Over half of the patients (55%) indicated that their monthly cramping decreased after the Minerva treatment. Many patients said they had an improvement in sexual satisfaction.
In this study, of those subjects who answered the survey, the overall patient satisfaction with the procedure was 98%. Nearly 99% of the patients indicated that they would recommend the Minerva Treatment to a friend or a relative.
Where you can find out more about your condition?
Excellent sources of information include the following:
- American College of Obstetricians and Gynecologists
– provides many useful publications on Women’s Health.
- American Association of Gynecologic Laparoscopists
– Excellent source of information.
- The National Women’s Health Information Center
– The National Women’s Health Information Center (NWHIC) is the most reliable and current information resource on women’s health today. NWHIC offers FREE women’s health information on more than 800 topics.
- Mayo Clinic
– Information on Diseases and Conditions, Symptoms, Drugs and Supplements, Tests and procedures, Healthy Lifestyle, First Aid, and other.
– Largest Web site for Gynecologists and patients.