Endometrial thermoablation for treatment of menorrhagia: comparison of two methods in outpatient setting

Abstract

Background: Menorrhagia is one of the commonest reasons for gynecologic consultations. Inhibitors of fibrinolysis and non-steroidal anti-inflammatory drugs (NSAIDs) are generally used as therapy for the condition with an acceptable response in some patients. Endometrial ablation is one choice in patients suffering from menorrhagia. It can be performed in patients with no endometrial histological or anatomical pathology. In this method, the functional endometrial tissue is ablated under general anesthesia in an outpatient setting.

Methods: We compared two methods that are widely used in Finland (Menotreat and Cavaterm) in thermoablation of endometrial tissue in 31 patients that were randomized into two treatment groups.

Results: Endometrial ablation was effective in the treatment of menorrhagia in patients with normal endometrial structure. About 70% of the patients described the result of the treatment as 'very good'. Only one patient underwent a hysterectomy during the 6-month follow-up period because of problems related to uterine bleedings. The two methods were similar in efficacy and patient acceptance.

Conclusions: Both thermoablation techniques were well accepted by our patients and showed similar and good efficacy and patient acceptance.