Her Option

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Overview

In-Office Comfort and Convenience
Her Option^® Cryoablation Therapy from AMS is a treatment option for excessive menstrual bleeding (menorrhagia) that ablates endometrial tissue through sub-zero temperatures, using ultrasound guidance to monitor the safety and extent of treatment.

Her Option is a comfortable treatment for menorrhagia because the natural anesthesia effects of cold eliminate the need for IV sedation in most cases, and allow you to treat your patient in your office. With an office setting, both patient and physician benefit. Your patient relaxes in the comfort of a familiar setting, and you avoid scheduling issues and long waits in the operating room.

Safe, Effective and Easy to Use
Performing a D&C and reading ultrasound are routine parts of your practice. Not so coincidentally, those are among the primary skills needed to perform Her Option Cryoablation Therapy.

The Her Option system is designed to be comfortable, safe, effective and easy to use. Highlights of the system include:

Significantly reduces and in some women totally eliminates bleeding¹
Provides a consistent depth of tissue destruction up to 12mm²
Ultra-thin 5mm probe facilitates placement with minimal to no cervical dilation
Ultrasound monitoring helps provide a safe margin between the CryoZone and the uterine serosal surface
Offers total control at your fingertips
Can be completed under local or light anesthesia
Does not require painful distention of the uterine cavity
No danger of harmful fluid imbalance
100% latex free
Patients can expect rapid recovery and return to normal activity
Clinical studies document a significant improvement in quality of life¹
Can also be used for the laparoscopic ablation of other benign uterine tissue

1,Her Option User's Manual.
2. Towsend DE. A safe and effective method of controlling abnormal uterine bleeding. 2nd World Congress on Controversies in Obstetrics, Gynecology & infertility. Sep 6-9, 2001. Paris, France. P. 405-410.

Features and Benefits

Features	Benefits
In-office treatment	Patient retains uterus and natural hormones Familiar office setting is comforting to the patient and convenient for the physician
Slim 5mm probe creates 3cm zone at tip where freezing and heating occur	No hysteroscopy required Slim diameter of probe tip requires no dilation of the cervix (in most cases) Insulated shaft protects non-targeted tissues and user Analgesic effect of cryotherapy means less patient discomfort and no IV sedation No distention of the uterine cavity needed No danger of harmful fluid imbalance
Ultrasound monitoring provides real-time visualization of procedure	Ice is visible via ultrasound Real-time monitoring of probe placement and depth of penetration maximizes safety and efficacy Provides customizable and treatment penetration as deep as 12mm¹ Minimal scarring and reduced risk of harming adjacent tissue²
Self-contained unit and dual control probe	Console's audio-guided, step-by-step tutorial simplifies process Probe placement technique is similar to uterine sound Two-button control Requires only basic ultrasound skills

1. Towsend DE. A safe and effective method of controlling abnormal uterine bleeding. 2nd World Congress on Controversies in Obstetrics, Gynecology & infertility. Sep 6-9, 2001. Paris, France. P. 405-410.
2. Her Option User's Manual.

Her Option vs. Other Endometrial Ablation Procedures

Her Option	Other Endometrial Ablation Procedures
Performed in physician's office	Performed in hospital or surgical setting
Can be performed with no IV sedation and is comfortable for the patient	Performed with IV sedation

Does not require hysteroscope and distention of uterine cavity
Minimal to no cervix dilation	Requires cervix dilation
Minimal scarring¹	Heat ablation can cause scarring
No danger of harmful fluid imbalance	Some procedures require fluid distention
Ultrasound monitoring allows you to assess shape of uterus, note abnormalities or thin-walled areas and monitor procedure	Requires regular cavity shape and size, pre-procedure measurements of uterine dimensions

1. Her Option Clinical Study Summary 23700038 (01/05)