Endometrial Ablation in Menopausal Women on Estrogen Replacement Therapy Complaining of Abnormal Uterine Bleeding

Since March 1986, 26 menopausal patients complaining of persistent, annoying uterine bleeding with estrogen replacement therapy underwent either a Nd:YAG laser or an electrosurgical endometrial ablation. All patients discontinued estrogen replacement therapy one month prior to the ablation and resumed one month after the surgical procedure. There were no intraoperative complications. All women became amenorrheic within 1 month of the procedure. Endometrial ablation is an effective alternative to discontinuing estrogen replacement therapy in postmenopausal women complaining of unwanted uterine bleeding.