Dysfunctional Uterine Bleeding: Hysterectomy or Endometrial Ablation?

Symptoms were more likely to resolve with hysterectomy, but there were fewer adverse events with ablation.

Hysterectomy is commonly performed when medical therapy fails for so-called dysfunctional uterine bleeding (DUB). As a simpler, less costly alternative to hysterectomy, surgical ablation of the endometrium has become more viable with the recent development of new approaches. In this multicenter randomized trial, researchers compared these procedures in 225 premenopausal women (85% younger than 45) who underwent total hysterectomy or endometrial ablation for treatment of DUB.

More than 80% of the women named excessive bleeding as the major problem leading them to consider surgery; others wanted relief of pain, fatigue, or both. At 24-month follow-up, 85% of women who underwent ablation and 94% of those who underwent hysterectomy reported reso…

Reviewing Author

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)