Current minimal access techniques in the treatment of heavy menstrual bleeding
Article first published online: 24 JAN 2011
2007 Royal College of Obstetricians and Gynaecologists
The Obstetrician & Gynaecologist
Volume 9, Issue 4, pages 223–232, October 2007
How to Cite
Justin, W., Ibraheim, M., Bagtharia, S. and Haloob, R. (2007), Current minimal access techniques in the treatment of heavy menstrual bleeding. The Obstetrician & Gynaecologist, 9: 223–232. doi: 10.1576/toag.18.104.22.168352
- Issue published online: 24 JAN 2011
- Article first published online: 24 JAN 2011
- endometrial ablation;
- levonorgestrel-releasing intrauterine system;
- uterine artery embolisation
- •Heavy menstrual bleeding remains a major problem for some women.
- •Hysterectomy is the leading treatment for this condition but it is recognised to have some serious complications.
- •First-generation endometrial ablation techniques have a steep learning curve and are carried out under hysteroscopic visualisation.
- •Second-generation techniques are simpler and have lower complication rates, lower analgesia requirements and potential for outpatient use.
- •Individual assessment is important in deciding the route and method of treatment for heavy menstrual bleeding, taking clinical factors into consideration.
- •To know about the various options currently available for endometrial ablation.
- •To learn about the clinical application, advantages and limitations of various methods of endometrial ablation.
- •To be able to make an informed choice when deciding which modality to use.
- •Intense competition will continue to drive device manufacturers to make claims of effectiveness based on poor-quality evidence. All users have a responsibility to be well informed and to offer evidence-based advice to women.
Please cite this article as: Justin W, Ibraheim M, Bagtharia S, Haloob R. Current minimal access techniques in the treatment of heavy menstrual bleeding. The Obstetrician & Gynaecologist 2007;9:223–232.