The LiNA Librata™ is an endometrial ablation procedure which helps to reduce or even stop heavy menstrual bleeding.

In a quick ~2 minute thermal treatment, the LiNA Librata™ applies heat to the inner lining of the uterus that causes the bleeding.(2) It is a procedure that helps manage your heavy bleeding in an effective way.

What is heavy bleeding?

An estimated 1 out of 3 women seek treatment for heavy menstrual bleeding (1). Heavy periods can often be a major disruption to a woman’s normal life, requiring frequent pad or tampon changes, limiting activity and managing clothing to avoid embarrassment.

Symptoms

A normal period lasts 5-7 days, but if you suffer from heavy menstrual bleeding, you may experience some or all of the following symptoms:

  • Periods lasting more than 7 days
  • Frequent changing of sanitary wear that is soaked through within hours
  • Fear and anxiety about potential accidents
  • Menstrual flow that includes large blood clots
  • Severe pain or cramping

Treatments

There are various options for treating heavy periods. Which treatment is the best for you depends on a number of different factors; your health, your family status, the intensity of menstrual bleeding and the impact it has on your life. Depending on these factors, options range from medication to surgical procedures, which can be either temporary or permanent. One of the treatment methods is an endometrial ablation with LiNA Librata™, a minimally invasive procedure.

“I am very pleased with the outcome of my procedure using the LiNA Librata for my uterine ablation. The procedure was very smooth and didn’t take much time at all.”

Patient treated with LiNA Librata™

Benefits of the LiNA Librata™:

  • Thermal treatment time of ~2 minutes
  • No incisions
  • No hospitalisation (patients typically go home after the procedure)
  • Simple procedure (few steps)

What to expect before the procedure

Prior to surgery the doctor will discuss the type of anaesthesia to be used (e.g. local, IV sedation, general). Medication may be prescribed to make the procedure more comfortable.

What to expect during the procedure

In some cases your medical professional may use a local anaesthetic (numbing agent) and may dilate (widen) the cervix to allow entry of the device. Some menstrual like cramping may occur during the procedure.

How does it work?

Step 1: Insertion

The doctor will insert a slim soft balloon catheter through the cervix and into the uterus (womb). No incision required.

Step 2: Treatment

The balloon is gently inflated with a heated liquid to fill the uterus. The liquid is circulated for ~2 minutes to treat the lining of the uterus.

Step 3: Removal

After treatment, the balloon catheter is deflated and removed from the uterus.

What to expect after the procedure

In most cases patients will be discharged from the hospital/clinic the same day of treatment (3). Some women may feel abdominal cramping for a day or so following the procedure (3). The doctor may recommend an analgesic to alleviate this. After treatment, the patient may experience vaginal bleeding and discharge, which is a normal part of the uterus’s healing process (3).

PATIENT FAQs

In recent studies, women treated with LiNA Librata reported high satisfaction rates with the procedure, a significant reduction in menstrual blood loss and improved health related quality of life (4)(5).

Women suffering from heavy periods and who do not wish to have more children are candidates for getting a LiNA Librata procedure. However, the choice of treatment depends on a number of different factors. For this reason, it’s important that you consult with your doctor and together decide which treatment is most suitable for you.

Yes, after any endometrial ablation procedure there is still a small chance that pregnancy could occur. It’s important that appropriate birth control measures are continued after the procedure. Endometrial ablation should not be used if you want to become pregnant. Pregnancy after endometrial ablation can be dangerous for both you and the foetus.

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References

  1. Heavy Menstrual Bleeding.” ACOG, June 2016, www.acog.org/womens-health/faqs/heavy-menstrual-bleeding.
  2. LiNA LibrataTM Instructions for Use V0151.
  3. “Endometrial Ablation.” Royal College of Obstetricians & Gynaecologists, 22 Oct. 2015, www.rcog.org.uk/en/ patients/patient-leaflets/endometrial-ablation/.
  4. Guyer, Christopher. “Clinical evaluation of the Librata endometrial ablation device in an outpatient setting.” ESGE Annual Congress 2018. Messe Wien Exhibition & Congress Center. Vienna, Austria. Oral Presentation.
  5. Fortin, Claude. “Performance and effectiveness of the Librata endometrial ablation system.” CanSAGE Annual Meeting 2020. Virtual. Poster Presentation.

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