By Dr. Joseph Berenholz

Many women experience heavy periods at different points in their lives. However, abnormally long periods or heavy bleeding during or between periods may indicate a condition known as menorrhagia. Menorrhagia has several possible causes, including hormonal imbalance or the presence of polyps or benign fibroid tumors. One common cause of menorrhagia is a disorder of the uterine lining known as the endometrium. In such cases, endometrial ablation is a treatment that many women have chosen as a far less drastic alternative to a hysterectomy. As an ob/gyn with over 20 years of experience, Dr. Joseph Berenholz has performed many different ablation techniques used in the treatment of menorrhagia, including:

  • Her Option – Her Option is a menorrhagia treatment option that uses sub-zero temperatures and ultrasound guidance of a probe that freezes and ablates or wears away the uterine lining. This procedure is technically referred to as cryoablation of the endometrium.
  • Novasure – Unlike Her Option, the Novasure technique uses heat rather than cold to ablate the endometrium. With this technique, electrical energy is applied to a mesh placed within the cavity.


In addition to endometrial ablation, Dr. Berenholz performs a wide variety of cosmetic and gynecological procedures, from Essure sterilization to laser vaginal rejuvenation.Women who have experienced childbirth or injuries may have experienced conditions like the following:

  • Rectal Prolapse: This condition occurs when the rectum slips or falls out of place. The rectum is held in place in the pelvis by muscles and ligaments. Occasionally, these muscles can weaken due to age, childbirth, or even constipation, causing the rectum to become less tightly secured to the pelvis.
  • Bladder Prolapse: In women, the bladder is supported by the front wall along the vaginal canal. This wall can become weak with age, or it can be damaged due to bodily stress, such as childbirth. These events can cause the bladder to slip into the vaginal canal. Discomfort can result, as well as issues such as urine leakage.


If you have any concerns or questions about surgeries for enhancement or treatment for medical issues, contact our office. For more information, please call (248) 359-3200 or toll-free 888-593-8780.