What is Hydrothermal Ablation?

Hydrothermal Ablation (HTA) is a Gynecologic procedure created to destroy the endometrium, the inner lining of the uterus. It is used to treat patients with excessive uterine bleeding. In most cases, this procedure decreases heavy and irregular bleeding. In some cases, it can stop menstrual bleeding altogether.

HTA is a minimally invasive procedure and involves inserting a small probe into the uterus and flushing the uterine cavity with heated water to destroy all or most of the endometrium. This procedure can be performed in a physician’s office using local anesthesia or in a surgical suite using a general anesthetic. Many patients elect to have an HTA procedure performed in a physician’s office using a local anesthetic and are able to return to normal activities the following day.

If you are currently suffering from excessive uterine bleeding due to benign causes and are finished with childbearing, you may be a good candidate for HTA. Talk to a qualified Gynecologist to find out. This procedure is contraindicated in patients who are pregnant or who may want to get pregnant in the future. Potential risks with HTA are rare but include perforation of the wall of the uterus, infection, collection of blood and/or tissue in the uterus post procedure (hematometra) and tearing of the Cervix. A qualified Gynecologist can diagnose the cause of your excessive uterine bleeding, review your medical history and help determine if HTA is an appropriate treatment option for you.

What Does It Treat?

Cryotherapy destroys precancerous cells. These are cells that aren’t normal, but they haven’t turned into cancer yet. If you kill them early, you may keep them from turning into cancer later on.

Doctors can also use it to treat certain kinds of cancer, including in the prostate, liver, and bones.

Sometimes doctors use cryotherapy to remove skin growths that aren’t harmful, such as skin tags, warts, and angiomas. It can remove freckles and tattoos, too.

In Office Proceedures

Find out more about how we can help you by visiting our services page.

Patient resources

Angela Intili M.D.

Dr. Intili delivered both of my children and hopefully will deliver any future children! We have always felt heard, cared for and important in Dr. Intili’s care. She is thorough and personal in her care, remembering our concerns and needs whether in the office or on the labor & delivery floor at the hospital! She goes above & beyond for her patients and I am always happy to be in her care!


Frequently asked

What Insurance does your practice take?
Some insurance companies we accept: BlueCross Blue Shield PPO, BlueCross Blue Shield Presence EPO, BlueCross Blue Shield Presence St. Joe’s HMO, BlueCross Blue Shield Silver Cross HMO, Aetna PPO (Choice POS), Cigna PPO (Open Access), United Health Care PPO (Choice Plus) and Humana PPO (Open Access)
What office procedures do you perform in the office?
The following are performed at our office: Leep Procedure, Colposcopy Procedure, Cryosurgery  and  Endometrial  ablation  via  novasure ,  and  hysteroscopy
Is your practice able to do OB Ultrasound at the office?
We  perform  obstetrical  ultrasounds  and  gynecological
Which hospital(s) are you affiliated with?
Silver  Cross  Hospital  and  Adventist  St  Joseph  Hospital
Which hospitals do Dr Angela Intili deliver at?

Silver  Cross  Hospital  and  Adventist  St  Joseph  Hospital

Is Dr Angela Intil a Sole Practitioner?

Yes  ,  I have  been  solo practitioner  since  1994

Do you perform Gynecological Ultrasounds?


How often do I need a pap smear?
New guidelines  are 3-5  years,  however  a  pelvic  exam  may  be  needed  every year
At what age do I need a pap smear?
21  years  old
What age is menopause?
A median  age  of  menopause  is  54 years  old.  Perimenopause  may  begin 5-7 years earlier  ,  presents  with  irregular menses,  hot  flashes,  irritability    due  to  the  lack  of  progesterone ,  at  times  progesterone  supplement  may  improve  some of  these  symptoms
Are there conservative measures for hot flashes?

At  times  over  the  counter  supplement  may help,  however  some  contains  soy  which  should  be  avoided  in  women with  hormonal  related  cancers

How safe is hormonal replacement therapy?
There are  clear  benefits  to  hormonal  replacement  therapy ,  decreasing  the  risk of  cardiac  heart  disease,  osteoporosis,  and cognition. These  benefits are  present  within  the first  5  years of menopause.