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Endometrial cryotherapy

Authoring team

  • a treatment option in the management of menorrhagia
    • a non-hysteroscopic procedure that uses cold temperatures to freeze and destroy the endometrium
    • can be performed under general, regional or local anaesthesia, although sometimes no anaesthesia is needed
    • a cryoprobe is inserted into the fundus of the uterus and cooled by perfusing it with either liquid nitrogen or a compressed gas mixture
      • tip of the probe is placed first in one cornu of the uterus and then in the other, to generate an iceball that destroys the endometrial tissue
      • each freeze cycle is followed by a heat (thaw) cycle, which allows the probe to be removed
      • additional freeze/thaw cycles may be required

Reference:

  1. NICE (March 2006). Endometrial cryotherapy for menorrhagia

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