Sonography Guided Transcervical Ablation of Uterine Fibroids

Inclusion Criteria: * premenopausal * ≥ 25 and ≤ 50 years of age at time of enrollment * experienced heavy menstrual bleeding associated with fibroids (AUB-L) for at least 3 months * between 1-10 fibroids of FIGO types 1, 2, 3, 4, and/or type 2-5, with diameter ≥ 1.0 cm and ≤ 5.0 cm * at least one type 1, type 2, type 3, or type 2-5 fibroid. * PBAC score ≥ 150 and ≤ 500 * consistent menstrual cycles * not at material risk for pregnancy * speaks and reads a language for which validated questionnaires are available * willing and able to read, understand, and sign the informed consent form, to participate in the study and to adhere to all study follow-up requirements Exclusion Criteria: * pregnancy * urgent need for surgery to treat fibroid symptoms * desire for current or future childbearing * presence of a tubal implant for sterilization * postmenopausal by history * presence of type 0 fibroids, unless \< 1 cm in diameter * presence of a single polyp ≥ 1.5 cm, or multiple polyps of any size * any fibroid of FIGO type 1, type 2, type 3, type 4, or type 2-5 with diameter \> 5.0 cm * bulk symptoms in the presence of one or more fibroids of FIGO type 5, type 6, or type 7 * exclusive presence of fibroids that are insufficient to explain the severity of symptoms * presence of clinically relevant fibroids that cannot be treated for technical reasons * presence of an extrauterine pelvic mass that has not been diagnosed as benign * IUD/IUS in situ within the washout period * previou…