Microwave endometrial ablation after endometrial curettage for the management of heavy menstrual bleeding
| Main Authors: | Nikolaou Marinos, Androutsopoulos Georgios, Michail Georgios, Papadopoulos Vassilios, Adonakis Georgios, Decavalas Georgios |
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| Format: | Article Journal |
| Bahasa: | eng |
| Terbitan: |
, 2015
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| Online Access: |
https://zenodo.org/record/6350063 |
Daftar Isi:
- Objectives: The aim of our study was to evaluate the efficacy of microwave endometrial ablation after endometrial curettage, in selected patients with heavy menstrual bleeding. Material & Methods: 32 premenopausal women with heavy menstrual bleeding underwent to microwave endometrial ablation to the Department of Obstetrics and Gynecology of the University of Patras Medical School. All patients did not respond to previous medical treatment, had completed their childbearing and they did not desire future fertility. We chose endometrial curettage rather than hormonal pre-treatment (GnRH analogs, danazol) for endometrial preparation. Post-treatment follow up protocol included physical and ultrasonographic evaluation at 3, 6, 9 and 12 months for the first year and yearly after. Results: We had no cases of uterine perforation, thermal injury to adjacent organs, infection or sepsis. During follow up, there was a gradual decrease in amenorrhea rate (90.6% - 68.8%) and in satisfaction rate (90.6% - 71.9%). Moreover, during follow up 8 women underwent to total abdominal hysterectomy. Among them, 7 women had uterine myomas and 1 woman had adenomyosis. Conclusions: Endometrial preparation with endometrial curettage seems to be a good alternative to hormonal pre-treatment. It has the advantage of avoiding delays, side effects and cost of hormonal pre-treatment. Moreover, microwave endometrial ablation after endometrial curettage is successful and highly acceptable.