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Several recent studies suggest a role for hysteroscopic endometrial resection in treating heavy menstrual bleeding (see JWWH Aug 1996, p. 33, or N Engl J Med 1996; 335:151; and JWWH Oct 1996, p. 51, or Obstet Gynecol 1996; 88:241). This randomized study compared hysteroscopic endometrial resection with medical management in 197 women (mean age, 41) referred to gynecology consultants at a large Scottish teaching hospital.
All subjects had a diagnosis of dysfunctional uterine bleeding (with uterine size less than 10 weeks' pregnancy and normal endometrial histology) for which they had not seen a gynecologist before. Surgery, preceded by injection of a gonadotropin-releasing-hormone analogue, was performed under general anesthesia using rollerb…