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Title

CLINICAL EFFICACY OF HYSTEROSCOPIC ENDOMETRIAL ABLATIONAND FACTORS AFFECTING ITS SUCCESS

Pages

 Start Page 195 | End Page 198

Abstract

 In order to assess the efficacy of hysteroscopic ENDOMETRIAL ABLATION and factors which are important in its success, a prospective, randomized study was performed in Shiraz university hospitals between Sep. 1995 to Feb. 1998. 50 patients with chief complaints of menorrhagia that were in reproductive age (25- 50 years) and had shown no response to medication and D & C underwent ENDOMETRIAL ABLATION. Thirty-seven patients received pre-op medication and thirteen patients did not. All patients had undergone pre-operative endometrial sampling that had demonstrated benign histology. Eleven patients had submucosal myomas or pedunculated polyps that were resected at the time of hysteroscopic ablation. The minimum follow-up period was 1 year. Amenorrhea developed in 14% of patients, 50% of patients became hypomenorrheic and 30% eumenorrheic. Menorrhagia did not respond in 3 patients (6%). Hypermenorrhea was detected more commonly in younger patients.Type of endometrium, depth of the uterine cavity, presence of polyp or myoma and receiving pre-op medication were not important and did not affect patient response.Overall, the results of this study clearly indicate that ENDOMETRIAL ABLATION is a simple, effective and acceptable procedure for the management of intractable menorrhagia. The only factor which was important concerning the efficacy of ENDOMETRIAL ABLATION was patient age.

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