2005 Volume 23 Pages 85-88
PURPOSE : Since about 1960, there have been attempts to control the bleeding volume in hypermenorrhea by endometrial ablation using cryotherapy, thermal balloon therapy, or laser/high frequency wave therapy. However, these methods have problems such as the risk of uterine perforation and the necessity for skills. In recent years, microwave endometrial ablation (MEA) has been reported as a simple, safe, and accurate method. We used hysteroscopy in combination with MEA to detect residual portions after ablation and increase treatment effects and safety.
METHODS : This method was performed with approval of the ethical committee at our department in 10 females (age40-49 years) with hypermenorrhea after obtaining informed consent.
RESULTS : Slight menstrual bleeding was observed in 1 patient, but amenorrhea was observed in the other 8, and symptoms improved. There were no complications such as uterine perforation or injury of visceral organs.
CONCLUSIONS : MEA performed in combination with hysteroscopy is a safe and effective method.
