Hysteroscopic Endometrial Resection for Sterilization

No incision transcervical permanent sterilization

When a woman has completed her family, she may be interested in permanent sterilization. The traditional procedures for permanent sterilization are vasectomy for the man or laparoscopic tubal occlusion for the woman. Both are uncomfortable. Advanced Womens Health Institute has offered endometrial resection ablation for heavy menstrual bleeding for over 25 years. 

Through research, it has become apparent that the uterine muscle fuses within 6 months to completely obliterate the cavity. This makes it virtually impossible to get pregnant. Additionally, the pain and recovery associated with HERS are far less than either vasectomy or laparoscopic tubal. Furthermore, you will no longer have a period without having to undergo a hysterectomy.

Dr. Moore and the GYN team at the Advanced Women’s Health Institute have the specialized expertise to perform procedures such as HERS. We’ll communicate closely with you to develop a personalized treatment plan that accounts for your needs, preferences and goals.

If you believe HERS can improve your quality of life, schedule an appointment with us today.

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FAQs on HERS

What is Hysteroscopic Endometrial Resection Sterilization (HERS)?

A hysteroscope is inserted through the cervix and into the uterine cavity. No abdominal incisions are required. Using a loop electrode, the lining of the uterine cavity is completely removed. This leaves only the muscle part of the uterus. Over the next 6 months, the muscle fuses as healing occurs. Once that has occurred it is virtually impossible to get pregnant. Some women report mild cramping on the day of their HERS procedure, as well as the day after. Light bleeding and discharge lasts up to 6 weeks. It takes 6 months for the cavity to become obliterated, and after that, pregnancy is virtually impossible.

Why would I choose HERS?

A laparoscopic tubal requires abdominal incisions. That means several days off work, typically 1-2 weeks. Many men are hesitant to have a vasectomy because of significant pain for a few days. HERS requires no incisions, involves minimal pain, and will allow you to return to work in 1-2 days. Furthermore, HERS eliminates your period without need for a hysterectomy.

What should I expect after my HERS procedure?

You may experience cramping for 1-2 days, which is usually mild. Light bleeding and discharge that may appear thin and pink in color that may last for up to six weeks. Infection is very uncommon. You will need to use some form of contraception for 6 months following HERS.

Are there any HERS side-effects?

A thorough workup is important before HERS. If you show evidence of adenomyosis and/or fibroids, you may not be a good candidate. Women with adenomyosis can develop severe pain after HERS. Fibroids are tumors of the uterine muscle that develop in 70-80% of women in their lifetime. They can grow and cause problems. If fibroids are present, you can still have HERS as long as you know you may require another procedure in the future. Fibroids can be treated at the same time as HERS. As with all permanent sterilization procedures HERS is not 100% effective. Pregnancy could still occur.

Will HERS affect my fertility?

Because the entire uterine lining is removed during HERS it is virtually impossible to become pregnant. There is no way to put the uterine lining back after a HERS procedure.