Uterine fibroids are a common health concern for many women, often causing symptoms like heavy menstrual bleeding and pelvic pain. When these symptoms interfere with daily life, uterine fibroids treatment options are available to help manage or shrink fibroids. The Sonata treatment, also known as transcervical fibroid ablation (TFA), is a minimally invasive option designed to target fibroids while preserving the uterus.

What Is Sonata Treatment for Fibroids?

Transcervical fibroid ablation (TFA) with the Sonata System, also known as the Sonata fibroid treatment, is a minimally invasive procedure designed to treat uterine fibroids without surgery. It uses radiofrequency energy to shrink fibroids while preserving the uterus. This procedure is performed through the vagina, eliminating the need for incisions and allowing for a quicker recovery compared to traditional surgeries like myomectomy or hysterectomy.

Sonata treatment uses a small device inserted through the vagina and into the uterus. Guided by ultrasound imaging, the device delivers targeted radiofrequency energy to fibroids, causing them to shrink over time. Because there are no surgical cuts, most women experience less pain and a faster return to daily activities.

When Is Treatment Needed?

Not all fibroids require treatment. If fibroids are small and not causing symptoms, regular monitoring may be enough. However, treatment may be considered if:

• Fibroids cause persistent pain or heavy bleeding.
• They interfere with fertility or pregnancy.
• They press on nearby organs, causing bladder or bowel problems.
• Their size continues to increase, leading to discomfort.

Treatment to shrink fibroids depends on the severity of symptoms, size of fibroids and a person’s reproductive goals. Treatment options range from lifestyle changes to medical and surgical interventions. Fibroid treatment is personalized based on symptoms, medical history and reproductive goals. Speak with your healthcare provider to help determine the proper treatment approach.

What to Expect Before, During and After Sonata Treatment

Before the procedure, a doctor will assess the fibroids using ultrasound or MRI to determine if Sonata treatment for fibroids is a suitable option. Patients may be advised to stop certain medications in preparation, and anesthesia is typically used to ensure comfort during the procedure.

During the treatment, the doctor inserts a slim, hand-held device through the vagina and into the uterus, using ultrasound imaging to locate the fibroids. The device then delivers controlled radiofrequency energy to heat and shrink the fibroids, a process that usually takes less than an hour.

What Can Shrink Uterine Fibroids?

Uterine fibroids, also known as leiomyomas, are noncancerous growths that develop in or around the uterus. They are made up of muscle and connective tissue and can vary in size, number and location. Many women with fibroids experience no symptoms, but for others, fibroids can cause discomfort and impact daily life.

Fibroid symptoms depend on their size and location. Some of the most common symptoms include:

• Heavy or prolonged menstrual bleeding
• Pelvic pain or pressure
• Frequent urination or difficulty emptying the bladder
• Constipation or bloating
• Pain during intercourse
• Lower back or leg pain
• Complications during pregnancy, such as infertility or recurrent miscarriages

How Are Fibroids Diagnosed?

A healthcare provider may suspect fibroids based on symptoms and a physical exam. Diagnosis is typically confirmed using imaging tests, such as:

• Ultrasound – A non-invasive scan that provides a clear image of fibroids.
• MRI – Helps determine the size, number, and precise location of fibroids.
• Pelvic exam – Sometimes used to detect an enlarged or irregularly shaped uterus.
• Blood tests – May be done to check for anemia if heavy bleeding is present.

Is Sonata Procedure Effective?

The effectiveness of the Sonata procedure depends on factors such as the size, number, and location of the fibroids. Many patients may experience a reduction in symptoms, particularly lighter periods and less pelvic pressure, as the treated fibroids shrink over time. Regular follow-ups help assess symptom relief and overall progress.

After the procedure, patients may go home the same day, depending on their doctor’s assessment. Some may experience mild cramping or light bleeding, which may typically resolve within a few days. Generally, patients may return to normal activities within a few days. However, the full effects of the treatment may take time, as the fibroids shrink gradually over the following months. Doctors may recommend follow-up appointments to track recovery and discuss any concerns.

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