Related Experiment Videos
A simple method of coagulating endometrium in patients with therapy-resistant, recurring hypermenorrhea
1Department of Obstetrics and Gynaecology Ernst-Mortiz-Arndt-University, Greifswald, Germany.
Study Objective:
To assess the efficacy, safety, and tolerability of hydrothermablation in the treatment of recurrent menorrhagia.
Design:
Prospective, nonrandomized survey (Canadian Task Force classification II-2).
Setting:
Endoscopic center at a university hospital.
Patients:
Eighteen premenopausal women with recurring menorrhagia resistant to hormone treatment.
Interventions:
Coagulation of the endometrium at 90 degrees C for 10 minutes under hysteroscopic control.
Measurements And Main Results:
During follow-up of least 12 months, nine (50%) of patients had amenorrhea and 17 (94%) had reduction or cessation of pathologic blood flow. One woman underwent hysterectomy because of recurrent dysmenorrhea.
Conclusion:
In this study, hydrothermablation was a safe and effective method of treating recurrent menorrhagia. It does not require extensive training and may help avoid hysterectomy. (J Am Assoc Gynecol Laparosc 6(3):265-268, 1999)