Fibroid Therapy with the Sonata Treatment: A Modern and Minimally Invasive Option

Fibroids are a common health condition in women. These non-cancerous growths in the uterus can cause a range of symptoms, including heavy menstrual bleeding, pelvic pain, and even fertility issues. Fortunately, there are a variety of treatment options available for those with symptomatic fibroids. One of the newest and most innovative treatments available is the Sonata treatment.


What is the Sonata treatment?

The Sonata treatment is an incisionless and minimally invasive therapy for symptomatic fibroids. It allows doctors to treat a wide range of fibroid types and sizes, safely and effectively while preserving the uterus. The treatment works via transcervical radiofrequency ablation, which means that the fibroids are targeted and heated with energy for a few minutes. The previously heated fibroid tissue is broken down by the body over the following months, leading to a shrinkage of the fibroids and durable symptom relief.


What are the advantages of Sonata treatment?

One of the primary advantages of the Sonata treatment is that no incisions are involved. The treatment is clinically proven to be safe and effective with a rapid recovery period.


What are the expected outcomes after therapy with Sonata?

In the SONATA clinical study in which 147 patients treated with Sonata, the following results were reported:*

  • 50% returned to normal activity the next day with an average of 2.2 days
  • At 3 months, 86% reported a significant reduction in average menstrual bleeding, along with a marked improvement in quality of life and symptoms
  • At 12 months, 97% would recommend the Sonata treatment to a friend
  • After 3 years, 94% of patients were satisfied with their Sonata treatment

*Chudnoff S, Guido R, Roy K, Levine D, Mihalov L, Garza-Leal JG. Ultrasound-Guided Transcervical Ablation of Uterine Leiomyomas: The SONATA Trial. Obstet Gynecol. 2019 Jan; 133(1): 13-22


Which fibroids are not appropriate for treatment with Sonata?

While Sonata can safely and effectively treat a wide range of fibroid types and sizes, pedunculated fibroids and fibroids that are located at the cervix cannot be treated with Sonata. The method is also not suitable for very large fibroids (>8 cm). There are a few other individual exclusion criteria, which your attending physician will ask you about during a consultation.


Can I become pregnant after Sonata treatment?

Safety and effectiveness with regard to pregnancy after treatment with Sonata has not been established. As a uterus-preserving alternative to hysterectomy, treatment with Sonata does not eliminate the possibility of pregnancy.


Sonata treatment is a safe and effective option for those with symptomatic fibroids who want to avoid incisions and preserve their uterus. If you are interested in fibroid treatment with incisionless radiofrequency ablation, ask your doctor if the Sonata treatment is right for you.

Important Safety Information The Sonata System is intended for diagnostic intrauterine imaging and transcervical treatment of symptomatic uterine fibroids, including those associated with heavy menstrual bleeding. Common Side Effects include bleeding, spotting, cramping, post-ablation inflammatory symptoms, and/or discharge. There are potential risks with this treatment such as skin burn and infection. Women who are pregnant, have a pelvic infection, are known to have gynecologic cancer, or have intratubal implants for sterilization should not have this procedure. For full safety information visit, Talk to your doctor to see if Sonata Treatment is right for you.


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