TABLE OF CONTENTS I
LIST OF FIGURES IX
LIST OF CHARTS XIII
EXECUTIVE SUMMARY 1
U.S. GYNECOLOGICAL DEVICE MARKET OVERVIEW 1
COMPETITIVE ANALYSIS 4
MARKET TRENDS 7
MARKET DEVELOPMENTS 10
PROCEDURE NUMBERS 12
PROCEDURE CODES INVESTIGATED 13
MARKETS INCLUDED 15
KEY REPORT UPDATES 17
VERSION HISTORY 17
RESEARCH METHODOLOGY 18
Step 1: Project Initiation & Team Selection 18
Step 2: Prepare Data Systems and Perform Secondary Research 21
Step 3: Preparation for Interviews & Questionnaire Design 23
Step 4: Performing Primary Research 24
Step 5: Research Analysis: Establishing Baseline Estimates 26
Step 6: Market Forecast and Analysis 27
Step 7: Identify Strategic Opportunities 29
Step 8: Final Review and Market Release 30
Step 9: Customer Feedback and Market Monitoring 31
 
DISEASE OVERVIEW 32
2.1 BASIC ANATOMY 32
2.2 DISEASE PATHOLOGY AND DISORDERS 34
2.2.1 Introduction 34
2.2.2 General Diagnostics 35
2.2.3 Indications for Assisted Reproduction Technologies (ART) 36
2.2.3.1 ART Cost: Coverage Policy and Medical Insurance in Different Countries 36
2.2.4 Abnormal Uterine Bleeding 39
2.2.5 Gynecologic Cancer and Tumors in Reproductive System 41
2.2.6 Indications for Female Sterilization 43
2.2.7 Urinary Incontinence 44
2.2.8 Indications for Pelvic Organ Prolapse Repair 45
U.S. GYNECOLOGICAL DEVICE MARKET OVERVIEW 46
3.1 INTRODUCTION 46
3.2 MARKET OVERVIEW 47
3.3 TREND ANALYSIS BY SEGMENT 53
3.4 DRIVERS AND LIMITERS 57
3.4.1 Market Drivers 57
3.4.2 Market Limiters 58
3.5 COMPETITIVE MARKET SHARE ANALYSIS 60
3.6 MERGERS AND ACQUISITIONS 71
PROCEDURE NUMBERS 72
4.1 INTRODUCTION 72
4.2 PROCEDURES 74
4.2.1 Fallopian Tube Procedures 77
4.2.2 Assisted Reproduction Technology Procedures by Type 79
4.2.3 Cervical Procedures 81
4.2.4 Global Endometrial Ablation Procedures by Modality 83
4.2.4.1 Thermal Balloon Ablation Procedures 83
4.2.4.2 Hydrothermal Ablation Procedures 83
4.2.4.3 Radiofrequency Ablation Procedures 83
4.2.4.4 Cryoablation Procedures 83
4.2.5 Gynecological Electrosurgery Procedures 86
4.2.6 Mechanical Uterine Tissue Removal Procedures 88
4.2.7 Uterine Fibroid Embolization Procedures by Type 90
4.2.8 Vaginal Procedures 92
4.2.9 Hysteroscopy Procedures by Type 94
4.2.10 Colposcopy Procedures 96
4.2.11 Female Sterilization Procedures by Type 98
4.2.12 Pelvic Organ Prolapse Procedures by Type 99
4.2.13 HSG Catheter Procedures by Type 102
4.2.14 Other Gynecological Procedures 104
4.2.14.1 Myomectomy Procedures 104
4.2.14.2 Hysterectomy Procedures by Type 106
4.2.14.3 Hysterectomy Procedures by Approach 108
4.2.14.4 Ovarian Cancer Incidence 110
ASSISTED REPRODUCTION TECHNOLOGY DEVICE MARKET 112
5.1 INTRODUCTION 112
5.1.1 Media 113
5.1.2 Vitrification 113
5.2 MARKET OVERVIEW 114
5.3 MARKET ANALYSIS AND FORECAST 119
5.3.1 Oocyte Retrieval Needle Market 119
5.3.2 Micropipette Market 121
5.3.2.1 Flexible Pipette Market 125
5.3.2.2 ICSI Pipette Market 127
5.3.3 Embryo Transfer Catheter Market 129
5.3.4 Reproduction Media Market 131
5.3.4.1 Culture Media Market 136
5.3.4.2 Sperm Preparation Media Market 138
5.3.4.3 Manipulation Media Market 140
5.3.4.4 Freeze/Thaw Media Market 142
5.4 DRIVERS AND LIMITERS 144
5.4.1 Market Drivers 144
5.4.2 Market Limiters 145
5.5 COMPETITIVE MARKET SHARE ANALYSIS 147
GLOBAL ENDOMETRIAL ABLATION MARKET 152
6.1 INTRODUCTION 152
6.1.1 Hydrothermal Ablation 152
6.1.2 Radiofrequency Ablation 152
6.1.3 Cryoablation 153
6.1.4 Roller-Ball Ablation 153
6.2 MARKET OVERVIEW 154
6.3 MARKET ANALYSIS AND FORECAST 159
6.3.1 Total Endometrial Ablation Market 159
6.3.2 Thermal Ablation Device Market 161
6.3.3 Hydrothermal Ablation Device Market 164
6.3.4 Radiofrequency Ablation Device Market 166
6.3.5 Cryoablation Device Market 168
6.4 DRIVERS AND LIMITERS 170
6.4.1 Market Drivers 170
6.4.2 Market Limiters 171
6.5 COMPETITIVE MARKET SHARE ANALYSIS 173
GYNECOLOGICAL RESECTION DEVICE MARKET 177
7.1 INTRODUCTION 177
7.2 MARKET OVERVIEW 178
7.3 MARKET ANALYSIS AND FORECAST 183
7.3.1 Resectoscope Market 183
7.3.2 Monopolar Loop Electrode Market 185
7.3.3 Bipolar Loop Electrode Market 187
7.4 DRIVERS AND LIMITERS 189
7.4.1 Market Drivers 189
7.4.2 Market Limiters 189
7.5 COMPETITIVE MARKET SHARE ANALYSIS 191
MECHANICAL UTERINE TISSUE REMOVAL DEVICE MARKET 194
8.1 MARKET ANALYSIS AND FORECAST 194
8.2 DRIVERS AND LIMITERS 197
8.2.1 Market Drivers 197
8.2.2 Market Limiters 197
8.3 COMPETITIVE MARKET SHARE ANALYSIS 199
UTERINE FIBROID EMBOLIZATION DEVICE MARKET 202
9.1 INTRODUCTION 202
9.1.1 Microspheres 203
9.1.2 Polyvinyl Alcohol Particles 203
9.1.3 Drug-Eluting Particles 203
9.2 MARKET OVERVIEW 204
9.3 MARKET ANALYSIS AND FORECAST 209
9.3.1 Microsphere Market 209
9.3.2 PVA Particle Market 211
9.4 DRIVERS AND LIMITERS 213
9.4.1 Market Drivers 213
9.4.2 Market Limiters 214
9.5 COMPETITIVE MARKET SHARE ANALYSIS 216
HYSTEROSCOPE MARKET 219
10.1 INTRODUCTION 219
10.2 MARKET OVERVIEW 220
10.3 MARKET ANALYSIS AND FORECAST 224
10.3.1 Total Hysteroscope Market 224
10.3.2 Rigid Hysteroscope Market 227
10.3.3 Flexible Hysteroscope Market 229
10.4 DRIVERS AND LIMITERS 231
10.4.1 Market Drivers 231
10.4.2 Market Limiters 232
10.5 COMPETITIVE MARKET SHARE ANALYSIS 233
COLPOSCOPE MARKET 237
11.1 INTRODUCTION 237
11.2 MARKET ANALYSIS AND FORECAST 238
11.3 DRIVERS AND LIMITERS 240
11.3.1 Market Drivers 240
11.3.2 Market Limiters 241
11.4 COMPETITIVE MARKET SHARE ANALYSIS 242
PELVIC FLOOR ELECTRICAL STIMULATION DEVICE MARKET 245
12.1 INTRODUCTION 245
12.2 MARKET OVERVIEW 246
12.3 MARKET ANALYSIS AND FORECAST 251
12.3.1 Home-Based PFES Device Market 251
12.3.2 Office-Based PFES Device Market 253
12.4 DRIVERS AND LIMITERS 255
12.4.1 Market Drivers 255
12.4.2 Market Limiters 255
12.5 COMPETITIVE MARKET SHARE ANALYSIS 257
FLUID MANAGEMENT DEVICE MARKET 261
13.1 INTRODUCTION 261
13.2 MARKET OVERVIEW 262
13.3 MARKET ANALYSIS AND FORECAST 267
13.3.1 Fluid Management Equipment Market 267
13.3.2 Fluid Management Tubing Market 269
13.4 DRIVERS AND LIMITERS 271
13.4.1 Market Drivers 271
13.4.2 Market Limiters 272
13.5 COMPETITIVE MARKET SHARE ANALYSIS 273
PELVIC ORGAN PROLAPSE REPAIR DEVICE MARKET 277
14.1 INTRODUCTION 277
14.2 MARKET OVERVIEW 279
14.3 MARKET ANALYSIS AND FORECAST 282
14.3.1 Transvaginal Mesh Market 282
14.3.2 Sacrocolpopexy Mesh Market 284
14.4 DRIVERS AND LIMITERS 286
14.4.1 Market Drivers 286
14.4.2 Market Limiters 286
14.5 COMPETITIVE MARKET SHARE ANALYSIS 288
HSG CATHETER MARKET 291
15.1 INTRODUCTION 291
15.2 MARKET ANALYSIS AND FORECAST 292
15.3 DRIVERS AND LIMITERS 295
15.3.1 Market Drivers 295
15.3.2 Market Limiters 295
15.4 COMPETITIVE MARKET SHARE ANALYSIS 297
APPENDIX: FEMALE STERILIZATION DEVICE MARKET 301
16.1 INTRODUCTION 301
16.1.1 Transcervical Implant 301
16.1.2 Tubal Ligation 301
16.1.3 Mechanical Sterilization 302
16.1.4 Bipolar Electrocoagulation 302
16.2 MARKET OVERVIEW 303
16.3 MARKET ANALYSIS AND FORECAST 306
16.3.1 Transcervical Implant Market 306
16.3.2 Mechanical Sterilization Device Market 309
16.3.2.1 Mechanical Clip Market 311
16.3.2.2 Ligation Band Market 313
16.4 DRIVERS AND LIMITERS 315
16.4.1 Market Drivers 315
16.4.2 Market Limiters 315
ABBREVIATIONS 317

Figure 1 1: Gynecological Device Market Share Ranking by Segment, U.S., 2019 (1 of 3) 4
Figure 1 2: Gynecological Device Market Share Ranking by Segment, U.S., 2019 (2 of 3) 5
Figure 1 3: Gynecological Device Market Share Ranking by Segment, U.S., 2019 (3 of 3) 5
Figure 1 4: Companies Researched in this Report 6
Figure 1 5: Factors Impacting the Gynecological Device Market by Segment, U.S. (1 of 3) 7
Figure 1 6: Factors Impacting the Gynecological Device Market by Segment, U.S. (2 of 3) 8
Figure 1 7: Factors Impacting the Gynecological Device Market by Segment, U.S. (3 of 3) 9
Figure 1 8: Recent Events in the Gynecological Device Market, U.S., 2016 – 2019 (1 of 2) 10
Figure 1 9: Recent Events in the Gynecological Device Market, U.S., 2016 – 2019 (2 of 2) 11
Figure 1 10: Gynecological Device Procedures Covered 12
Figure 1 11: Procedure Codes Investigated (1 of 2) 13
Figure 1 12: Procedure Codes Investigated (2 of 2) 14
Figure 1 13: Gynecological Device Markets Covered (1 of 2) 15
Figure 1 14: Gynecological Device Markets Covered (2 of 2) 16
Figure 1 15: Key Report Updates 17
Figure 1 16: Version History 17
Figure 2 1: Gynecological Disease Overview 34
Figure 2 2: ART Procedure Availability Overview 38
Figure 2 3: ART Procedure Availability Overview 43
Figure 3 1: Gynecological Device Market by Segment, U.S., 2016 – 2026 (US$M) (1 of 2) 48
Figure 3 2: Gynecological Device Market by Segment, U.S., 2016 – 2026 (US$M) (2 of 2) 49
Figure 3 3: Gynecological Device Market Growth by Segment, U.S., 2016 – 2026 (1 of 2) 54
Figure 3 4: Gynecological Device Market Growth by Segment, U.S., 2016 – 2026 (2 of 2) 55
Figure 3 5: Drivers and Limiters, Gynecological Device Market, U.S., 2019 59
Figure 3 6: Leading Competitors, Gynecological Device Market, U.S., 2019 (1 of 2) 68
Figure 3 7: Leading Competitors, Gynecological Device Market, U.S., 2019 (2 of 2) 69
Figure 4 1: Procedure Codes Investigated (1 of 2) 72
Figure 4 2: Procedure Codes Investigated (2 of 2) 73
Figure 4 3: Gynecological Procedures by Type, U.S., 2016 – 2026 (1 of 2) 74
Figure 4 4: Gynecological Procedures by Type, U.S., 2016 – 2026 (2 of 2) 75
Figure 4 5: Fallopian Tube Procedures, U.S., 2016 – 2026 77
Figure 4 6: Assisted Reproduction Technology Procedures by Type, U.S., 2016 – 2026 79
Figure 4 7: Cervical Procedures, U.S., 2016 – 2026 81
Figure 4 8: Global Endometrial Ablation Procedures by Modality, U.S., 2016 – 2026 84
Figure 4 9: Gynecological Electrosurgery Procedures, U.S., 2016 – 2026 86
Figure 4 10: Mechanical Uterine Tissue Removal Procedures, U.S., 2016 – 2026 88
Figure 4 11: Uterine Fibroid Embolization Procedures by Type, U.S., 2016 – 2026 90
Figure 4 12: Vaginal Procedures, U.S., 2016 – 2026 92
Figure 4 13: Hysteroscopy Procedures by Type, U.S., 2016 – 2026 94
Figure 4 14: Colposcopy Procedures, U.S., 2016 – 2026 96
Figure 4 15: Pelvic Organ Prolapse Procedures by Type, U.S., 2016 – 2026 100
Figure 4 16: HSG Catheter Procedures by Type, U.S., 2016 – 2026 102
Figure 4 17: Myomectomy Procedures, U.S., 2016 – 2026 104
Figure 4 18: Hysterectomy Procedures by Type, U.S., 2016 – 2026 106
Figure 4 19: Hysterectomy Procedures by Approach, U.S., 2016 – 2026 108
Figure 4 20: Ovarian Cancer Incidence, U.S., 2016 – 2026 110
Figure 5 1: Assisted Reproduction Technology Device Market by Segment, U.S., 2016 – 2026 (US$M) 115
Figure 5 2: Oocyte Retrieval Needle Market, U.S., 2016 – 2026 119
Figure 5 3: Micropipette Market by Segment, U.S., 2016 – 2026 (US$M) 121
Figure 5 4: Micropipette Market, U.S., 2016 – 2026 123
Figure 5 5: Flexible Pipette Market, U.S., 2016 – 2026 125
Figure 5 6: ICSI Pipette Market, U.S., 2016 – 2026 127
Figure 5 7: Embryo Transfer Catheter Market, U.S., 2016 – 2026 129
Figure 5 8: Reproduction Media Market by Segment, U.S., 2016 – 2026 (US$M) 132
Figure 5 9: Reproduction Media Market, U.S., 2016 – 2026 134
Figure 5 10: Culture Media Market, U.S., 2016 – 2026 136
Figure 5 11: Sperm Preparation Media Market, U.S., 2016 – 2026 138
Figure 5 12: Manipulation Media Market, U.S., 2016 – 2026 140
Figure 5 13: Freeze/Thaw Media Market, U.S., 2016 – 2026 142
Figure 5 14: Drivers and Limiters, Assisted Reproduction Technology Device Market, U.S., 2019 146
Figure 5 15: Leading Competitors, Assisted Reproduction Technology Device Market, U.S., 2019 150
Figure 6 1: Global Endometrial Ablation Market by Segment, U.S., 2016 – 2026 (US$M) 155
Figure 6 2: Total Endometrial Ablation Market, U.S., 2016 – 2026 159
Figure 6 3: Thermal Ablation Device Market, U.S., 2016 – 2026 162
Figure 6 4: Hydrothermal Ablation Device Market, U.S., 2016 – 2026 164
Figure 6 5: Radiofrequency Ablation Device Market, U.S., 2016 – 2026 166
Figure 6 6: Cryoablation Device Market, U.S., 2016 – 2026 168
Figure 6 7: Drivers and Limiters, Global Endometrial Ablation Market, U.S., 2019 172
Figure 6 8: Leading Competitors, Global Endometrial Ablation Market, U.S., 2019 175
Figure 7 1: Gynecological Resection Device Market by Segment, U.S., 2016 – 2026 (US$M) 179
Figure 7 2: Resectoscope Market, U.S., 2016 – 2026 183
Figure 7 3: Monopolar Loop Electrode Market, U.S., 2016 – 2026 185
Figure 7 4: Bipolar Loop Electrode Market, U.S., 2016 – 2026 187
Figure 7 5: Drivers and Limiters, Gynecological Resection Device Market, U.S., 2019 190
Figure 7 6: Leading Competitors, Gynecological Resection Device Market, U.S., 2019 192
Figure 8 1: Mechanical Uterine Tissue Removal Device Market, U.S., 2016 – 2026 195
Figure 8 2: Drivers and Limiters, Mechanical Uterine Tissue Removal Device Market, U.S., 2019 198
Figure 8 3: Leading Competitors, Mechanical Uterine Tissue Removal Device Market, U.S., 2019 200
Figure 9 1: Uterine Fibroid Embolization Device Market by Segment, U.S., 2016 – 2026 (US$M) 205
Figure 9 2: Microsphere Market, U.S., 2016 – 2026 209
Figure 9 3: PVA Particle Market, U.S., 2016 – 2026 211
Figure 9 4: Drivers and Limiters, Uterine Fibroid Embolization Device Market, U.S., 2019 215
Figure 9 5: Leading Competitors, Uterine Fibroid Embolization Device Market, U.S., 2019 217
Figure 10 1: Hysteroscope Market by Segment, U.S., 2016 – 2026 (US$M) 220
Figure 10 2: Total Hysteroscope Market, U.S., 2016 – 2026 225
Figure 10 3: Rigid Hysteroscope Market, U.S., 2016 – 2026 227
Figure 10 4: Flexible Hysteroscope Market, U.S., 2016 – 2026 229
Figure 10 5: Drivers and Limiters, Hysteroscope Market, U.S., 2019 232
Figure 10 6: Leading Competitors, Hysteroscope Market, U.S., 2019 235
Figure 11 1: Colposcope Market, U.S., 2016 – 2026 238
Figure 11 2: Drivers and Limiters, Colposcope Market, U.S., 2019 241
Figure 11 3: Leading Competitors, Colposcope Market, U.S., 2019 243
Figure 12 1: Pelvic Floor Electrical Stimulation Device Market by Segment, U.S., 2016 – 2026 (US$M) 247
Figure 12 2: Home-Based PFES Device Market, U.S., 2016 – 2026 251
Figure 12 3: Office-Based PFES Device Market, U.S., 2016 – 2026 253
Figure 12 4: Drivers and Limiters, Pelvic Floor Electrical Stimulation Device Market, U.S., 2019 256
Figure 12 5: Leading Competitors, Pelvic Floor Electrical Stimulation Device Market, U.S., 2019 259
Figure 13 1: Fluid Management Device Market by Segment, U.S., 2016 – 2026 (US$M) 263
Figure 13 2: Fluid Management Equipment Market, U.S., 2016 – 2026 267
Figure 13 3: Fluid Management Tubing Market, U.S., 2016 – 2026 269
Figure 13 4: Drivers and Limiters, Fluid Management Device Market, U.S., 2019 272
Figure 13 5: Leading Competitors, Fluid Management Device Market, U.S., 2019 275
Figure 14 1: Pelvic Organ Prolapse Repair Device Market by Segment, U.S., 2016 – 2026 (US$M) 280
Figure 14 2: Transvaginal Mesh Market, U.S., 2016 – 2026 282
Figure 14 3: Sacrocolpopexy Mesh Market, U.S., 2016 – 2026 284
Figure 14 4: Drivers and Limiters, Pelvic Organ Prolapse Repair Device Market, U.S., 2019 287
Figure 14 5: Leading Competitors, Pelvic Organ Prolapse Repair Device Market, U.S., 2019 289
Figure 15 1: HSG Catheter Market, U.S., 2016 – 2026 293
Figure 15 2: Drivers and Limiters, HSG Catheter Market, U.S., 2019 296
Figure 15 3: Leading Competitors, HSG Catheter Market, U.S., 2019 299
Figure 16 1: Female Sterilization Device Market by Segment, U.S., 2016 – 2026 (US$M) 304
Figure 16 2: Transcervical Implant Market, U.S., 2016 – 2026 307
Figure 16 3: Mechanical Sterilization Device Market by Segment, U.S., 2016 – 2026 (US$M) 309
Figure 16 4: Mechanical Clip Market, U.S., 2016 – 2026 311
Figure 16 5: Ligation Band Market, U.S., 2016 – 2026 313
Figure 16 6: Drivers and Limiters, Female Sterilization Device Market, U.S., 2019 316

• Argon Medical • Medtronic
• Becton Dickinson • Merit Medical Systems
• Bioteque America Inc. • Mermaid Medical
• Boston Scientific • Minerva Surgical
• Bovie Medical • Monarch Medical Products
• BTG International • MPM Medical Supply
• Caldera Medical • KONMED
• CardioMed • Laborie Medical
• Carl Zeiss • Liorsky Blue
• Channel Medsystems • Lutech Industries
• Coloplast • McKesson Medical-Surgical
• Cone Instruments • KONMED
• Cook Medical • Olympus
• Cooper Surgical • The Prometheus Group
• C.R. Bard • Redi-tech Medical Products
• CRI/Thomas Medical • Richard Wolf
• Edan Instruments • Olympus
• Ethicon • Rocket Medical
• Gynex Corporation • Seiler
• Hologic • Sonocath
• InControl Medical • SRS Medical
• InVitroCare • Stryker
• Irvine Scientific • Sunlight Medical
• Karl Storz • Terumo Medical Corp
• KONMED • Thought Medical
• Laborie Medical • UNICO
• LifeGlobal • Utah Medical
• Liorsky Blue • Vitrolife
• Lutech Industries • Wallace Medical
• McKesson Medical-Surgical • Win Health
• MedGyn • Z&Z Medical