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OBJECTIVES: To assess the efficacy of therapies in menorrhagia related to atypical endometrial hyperplasia, polyps, myoma, adenomyosis and arteriovenous malformation of the uterus. MATERIALS AND METHODS: Medline and Cochrane contents were …
Curettage and endometrial ablation aggress the endometrium of menorragic women, thus decreasing the menstrual volume. Curettage only ablates the superficial layer of the endometrium and menorragia reappears in 50% of the cases at one year. …
Myometrial coagulation necrosis occurred after LH-RH analogue treatment and Nd:YAG laser reduction of the endometrium. This rare complication occurred in a patient with adenomyosis.
The authors report the first cases of the use of operating fibre hysteroscopes with YAG laser to carry out endometrial ablation. Fiberoptic hysteroscopes were used and made it possible to carry out the procedure with much greater precision …