Endometrial Thermal Coagulation – Degree of Uterine Fibrosis Predicts Treatment Outcome

In: Gynecologic and Obstetric Investigation · 1998 · vol. 45(1) , pp. 54–57 · doi:10.1159/000009925 · PMID:9473166 · W2052988051
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This study found that greater uterine fibrosis after balloon endometrial destruction for menorrhagia correlated with improved treatment outcomes, as assessed by hysteroscopy and sonography.

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Abstract

OBJECTIVE: To study the uterine cavity after thermal endometrial destruction for the treatment of menorrhagia by means of a balloon catheter, the Cavaterm system. To relate the appearance of the uterine cavity to the outcome of the treatment. METHODS: Fifty-one of the first 60 women treated with balloon endometrial destruction were examined with hysteroscopy and saline infusion sonography 11-28 months after treatment. RESULTS: Patients with minimal or no bleeding after thermal endometrial destruction had more uterine fibrosis than patients bleeding more. CONCLUSION: The greater the degree of fibrosis of the uterine cavity after balloon endometrial destruction by thermal coagulation, the better the effect on menorrhagia.

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