Satisfaction Remains High 10 Years After Endometrial Ablation

Second-generation ablation techniques are effective for managing heavy menstrual bleeding in appropriately selected individuals.

Heavy menstrual bleeding (HMB) late in reproductive life is commonly treated with second-generation methods of endometrial ablation (JW Womens Health May 24 2012), but how effective are these techniques over time? Short-term studies have typically reported that ablation achieves amenorrhea, but long-term patient satisfaction and need for additional surgery may be better indicators of effectiveness. Dutch investigators conducted a 10-year follow-up of participants (median age, 54) in a randomized, double-blind trial of bipolar radiofrequency ablation (RFA) versus thermal balloon ablation (TBA).

Fifty (73%) of the women who underwent RFA and 23 (66%) who underwent TBA were amenorrheic at 10 years (rates were 48% and 32%, respectively, at 5 yea…

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)

Satisfaction Remains High 10 Years After Endometrial Ablation

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Reviewing Author