Fibroid Treatment Without Open Surgery

Radiofrequency Ablation (RFA) Procedure

The new option in fibroid symptom relief

The fibroid procedure backed by science, studies, and real women. We’re changing the standard of care for uterine fibroids.

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What are Uterine Fibroids?

Uterine fibroids are benign tumors that grow in or on the uterus. They are surprisingly common, occurring in 80 percent of women by the age of 50.

woman smiling


What are Common Symptoms?

  • Periods that last longer than a week
  • Heavy periods causing bleeding through clothes
  • Pain and pressure in your pelvis, legs or lower back
  • Unexplained exhaustion (may be anemia)
  • Having to go to the bathroom a little too often


What Treatments Are Available?

Non-surgical treatments

  • Watchful Waiting
    Fibroids are benign, slow growing tumors that rarely interfere with pregnancy, therefore if the patient is not experiencing any complications from the fibroids, a watch and wait approach might be recommended first.
  • Medication
    While medications cannot eliminate fibroids, they can shrink them and address some of the symptoms such as heavy periods and pelvic pressure.
    Medications include:
  • Gonadotropin-releasing hormone (GnRH) agonists
    Estrogen and progesterone are blocked, putting the body in a menopause-like state which may lighten heavy periods and may cause fibroids to shrink.
  • Intrauterine Devices (IUDs)
    IUDs that release progestin may provide relief from heavy bleeding caused by fibroids, but do not shrink fibroids.
  • Tranexamic acid
    Tranexamic acid is a non-hormonal medication that may ease heavy bleeding caused by fibroids.
  • Other birth control
    Oral contraceptives may offer relief for menstrual bleeding, but these medications do not shrink fibroids.
  • MRI-guided focused ultrasound surgery (FUS)
    Focused ultrasound surgery is a noninvasive treatment option that is performed while the patient is inside an MRI scanner. The imaging equipment provides the doctor with a clear picture of the location of the fibroids which are then targeted with ultrasound waves that apply heat to destroy smaller fibroids.

Surgical treatments

Several treatment options available to treat fibroids, including:

Procedure Steps:

  • Hysterectomy (open surgery)
  • Myomectomy (open surgery)
  • Uterine Artery Embolization (UAE)
  • Radiofrequency Ablation (RFA)
  • Hysteroscopic Myomectomy


Embed Treatments Comparison Chart


What is the RFA Procedure?

Radiofrequency Ablation (RFA) is a minimally invasive treatment that does not surgically remove uterine fibroids, but shrinks them over time.


What is the Treatment Process?

The procedure works by delivering heat (radiofrequency) directly into a fibroid to destroy the proteins of the fibroid tissue. The consistency of the fibroid changes from being hard like a baseball to soft like a marshmallow. Treating the fibroid versus removing the fibroid helps avoid damaging healthy tissue. Fibroids do not have to be removed to achieve relief. Recovery is typically four to five days, and patients usually see the most relief in three months.

Procedure Steps

  1. Prep – You are prepped and brought into the operating room for anesthesia.
  2. Access – Your physician makes three small incisions.
  3. Visualize – Each fibroid is precisely located with the ultrasound probe and guidance mapping technology, allowing a full view of your uterus.
  4. Deploy – The tip of the handpiece is deployed into the fibroid, while preserving healthy uterine tissue.
  5. Treat – Controlled heat is deployed to each fibroid to destroy the tissue and is repeated until every targeted fibroid is fully treated.
  6. Recover – Most patients get cleared to go home the same day.


What are the Results & Benefits?

  • Relief – After treatment the fibroid continues to shrink over time, other symptoms like heavy, long periods and looking pregnant when you’re not, can take 3+ months to improve.
  • Scientifically Proven – Many patients see the most relief within 3 months, and continuing improvement out to 12 months and beyond.
  • Uterine sparing – only treats the fibroids
  • Minimally invasive – 3 small incisions, no suturing of uterine tissue
  • Quick recovery – return to work in 4-5 days
  • Clinical evidence – proven on highly symptomatic patients
  • Treats nearly all types of fibroids – fewer small fibroids left behind
  • Addresses symptoms – including heavy bleeding and bulk
  • Lower intraoperative blood loss – compared to myomectomy and hysterectomy


“I had irregular periods on my heavy days because of fibroids, and I would go through several tampons pretty quickly. I have suffered 3 miscarriages. After the RAF procedure, I had very little pain and my periods have been normal.”
- Melody, early 40s


photo of Dr. Garza

Dr. Henry Garza


Does RFA make sense for me?

It depends on your fibroids and your body. RFA is uterine sparing and can treat nearly all locations of fibroids, with a quicker recovery compared to other treatment options. For many, it’s a great option. The key is to know your options and, together with a physician, determine if the RFA procedure is right for you.

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