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Genesys HTA™ System

The Genesys HTA System therapy is an outpatient procedure that uses heated saline to treat the uterine lining, or endometrium. Once treated, most women no longer experience the symptoms or effects of a heavy period. Many women stop having their period altogether.1


Patient Brochure Initial Questions To Ask Your Physician Questions To Ask Your Physician Before Your Procedure



Treatment With HTA

The Genesys HTA System works by circulating heated saline throughout the uterus in order to ablate the lining of the uterine walls, also known as the endometrium. The procedure can be performed at the hospital or potentially in your doctor's office.1

Hundreds of thousands of women have been successfully treated by the HTA™ System. The majority of women see a dramatic decrease in the length and heaviness of their period.2 Once treated, most women no longer experience the symptoms or effects of a heavy period. Many women stop having their period altogether.1

In a clinical trial, after three years the majority of women reported a reduction of bleeding to normal levels or less.1 In patients that completed the study, 98% of women were satisfied with their periods.2

It is important for you to speak with your doctor to discuss all the options for the treatment of your heavy menstrual bleeding.


Is Genesys HTA Right For Me?

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

Only you and your physician can decide if this is the right treatment for you. Your physician may want to perform preliminary tests, such as a pap smear or an ultrasound, to determine what is causing your heavy bleeding.

Genesys HTA System Treatment Isn't For Everyone

The 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 of the Genesys HTA System


Family Planning Considerations

You should not have a Genesys HTA System procedure if you desire to get pregnant in the future.

Although endometrial ablation significantly reduces the chances for pregnancy, it does not prevent you from getting pregnant. A pregnancy after endometrial ablation would be high risk for both mother and child. Be sure to discuss contraception or sterilization options with your physician prior to the Genesys HTA System procedure.


Talk to Your Doctor

Initial Visit with Your Physician

When discussing your heavy menstrual bleeding with your physician, you might want to take note of the dates and type of bleeding (light, medium or heavy) on your calendar leading up to your appointment.  The following are questions to consider asking your physician when discussing if the Genesys HTA System treatment is right for you:

  • What are my options for treatment?
  • Am I a candidate for a Genesys HTA System treatment?
  • Will I have periods after the Genesys HTA System treatment?
  • Do you perform the Genesys HTA System procedure in your office?
  • Do you perform the procedure using general anesthesia or with a local anesthetic?
  • Can I get pregnant after a Genesys HTA System treatment? Do I need to consider contraception or sterilization?
  • What risks should I be aware of before considering if this procedure is right for me?

Print Initial Questions to Ask Your Physician

Questions to Ask Before Your Procedure

  • Can I have an ablation during my period?
  • Are there medications that I should avoid before the procedure?
  • Do I need to take any medications before, during or after the procedure?
  • Should I stop taking my birth control pills?
  • Can I eat and drink the night before a procedure, or the day of the procedure?
  • How long will it take you to perform the procedure?
  • What will I feel during the procedure?
  • How long after the procedure can I go home?
  • Can I drive myself home after the procedure?
  • Will my periods stop completely after the procedure?
  • What is the typical recovery time associated with the procedure? What can I expect?
  • When can I return to normal activities?
  • When can I return to work?
  • How long after the procedure can I have sex?
  • How long before my heavy bleeding symptoms improve?
  • When do I need to schedule a follow-up exam?

Print Questions to Ask Before Your Procedure

Please remember that the Genesys HTA treatment is only an option if you no longer desire to get pregnant in the future. When discussing your heavy menstrual bleeding you should notify your physician if you have:

  • had any surgery on your uterus such as a myomectomy
    or C-section
  • had a tubal sterilization
  • ever had an infection in your pelvic organs
  • an active genital or urinary tract infection
  • ever been told that you have a blood clotting disorder
  • a history of any gynecologic conditions such as fibroids or uterine polyps
  • tested positive for any sexually transmitted disease such as gonorrhea or chlamydia
  • ever had a known or suspected endometrial carcinoma or premalignant changes of the endometrium
  • an intrauterine device (IUD) in place


What To Expect

Pre-Procedure Consultation

  • The Genesys HTA System procedure can be performed in the hospital or potentially in your doctor's office.1
  • In advance of the procedure, you'll want to talk to your doctor to discuss your anesthesia options and pre- and post-procedure instructions.

During the Procedure

  • After a slight dilation of the cervix, a slim procedure sheath will be placed in your cervix.
  • Your uterus will then be filled with saline that will circulate throughout the procedure.
  • Your physician will look inside your uterus with a hysterscope that fits inside of the procedure sheath.
  • The saline circulating in your uterus will then be heated by the Genesys HTA System.
  • The heated saline is intended to ablate the lining of the uterine walls.
  • The treatment cycle takes about 10 minutes.
  • After the treatment cycle has been completed the uterus will be flushed with cool saline.
  • The cool saline is then drained and the procedure sheath is removed.


  • Your physician will provide you with complete post procedure instructions.
  • You can expect some light cramping the day of your treatment. Some other common side effects you may experience include nausea and vomiting.
  • Most women are able to return to normal activities by the next day. However, you should speak with your doctor about resuming sexual activity. It is recommended to not use tampons for seven days after the procedure to reduce your risk of infection.
  • As your endometrium begins to slough off after the treatment, you may experience some discharge or other symptoms similar to your menstrual period. These symptoms may occur for several weeks after your treatment.
  • If you experience two days of heavy bleeding, abdominal or pelvic pain, a fever, or pain that increases over time beyond 24 hours after the procedure, call your physician.
  • Your periods may continue to be heavy for a few months after the procedure as part of the healing process. However, this should improve after a few months.


Insurance Coverage

The Genesys HTA System procedure is covered by most health insurance providers. To find out if the Genesys HTA System procedure is covered under your plan, check your employee benefits or call your healthcare insurance company directly prior to having the procedure performed. Ask for your plan's coverage of Hysteroscopic Endometrial Ablation (code 58563).

If your physician's office has questions about reimbursement for Genesys HTA therapy, they may call 1-508-683-4022.