- •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.