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Published on: July 16, 2020
Endometrial ablation in patients with myomas
1Department of Obstetrics and Gynecology, University of Arizona, Phoenix, 85013, USA. Loffer3410@aol.com
Current Opinion in Obstetrics & Gynecology
|June 24, 2006
Summary
Uterine myomas can complicate endometrial ablation for heavy menstrual bleeding, but most patients can still be treated successfully. Myomas do not absolutely contraindicate this menorrhagia treatment.
Area of Science:
- Gynecology
- Reproductive Medicine
Background:
- Uterine myomas are common benign tumors that can cause heavy menstrual bleeding (menorrhagia).
- Endometrial ablation is a treatment option for menorrhagia, but its efficacy can be affected by myomas.
Purpose of the Study:
- To review the impact of uterine myomas on endometrial ablation for menorrhagia.
- To evaluate how myomas affect the procedure, postoperative course, and long-term outcomes.
Main Methods:
- Literature review of studies on endometrial ablation in patients with uterine myomas.
- Analysis of outcomes including procedural success, complications, and need for further surgery.
Main Results:
- Selected patients with submucosal myomas may be treated with endometrial ablation alone using new techniques.
- Combining endometrial ablation with hysteroscopic myomectomy improves bleeding control but not the long-term need for hysterectomy.
- Intramural myoma necrosis is a rare complication; untreated myomas may necessitate hysterectomy.
Conclusions:
- Uterine myomas can compromise endometrial ablation outcomes and lead to future complications.
- However, myomas are not an absolute contraindication, and many patients can be treated successfully.
