Patient Satisfaction with Therapeutic Options for Heavy Menstrual Bleeding

During the past 20 years, alternatives to hysterectomy for treating women with heavy menstrual bleeding have gained acceptance. To evaluate patient satisfaction with various treatments, investigators conducted a meta-analysis of individual patient data from 30 randomized controlled trials of hysterectomy, endometrial ablation (under direct hysteroscopic visualization [first-generation] or without visualization [second-generation]), and the levonorgestrel-releasing intrauterine system (LNG-IUS).

Twelve months after initial treatment, significantly more women were dissatisfied with first- or second-generation endometrial ablation than with hysterectomy (13% and 11% vs. 5%). However, no significant differences in dissatisfaction were found betw…