Update on treatment of menstrual disorders

Martha Hickey, Cindy Farquhar, Cynthia M Farquhar, Farquhar CM
The Medical journal of Australia · 2003 · vol. 178(12) , pp. 625–629 · doi:10.5694/j.1326-5377.2003.tb05388.x · PMID:12797850 · W2312016147
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

Modern medical and conservative surgical treatments effectively manage heavy menstrual bleeding, while laparoscopic surgery improves endometriosis symptoms, and the levonorgestrel intrauterine system offers a highly effective alternative to hysterectomy for menorrhagia.

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Abstract

There is evidence from well designed randomised controlled trials that modern medical and conservative surgical therapies (including endometrial ablation) are effective treatments for heavy menstrual bleeding for many women. Submucous fibroids may be resected directly via the hysteroscope, reducing menstrual bleeding, although data are available only from case series. Endometriosis is common, may also occur in young women and may present with atypical or non-cyclical symptoms; conservative laparoscopic surgery increases fecundity and reduces dysmenorrhoea and dyspareunia. Randomised trials of the levonorgestrel intrauterine system in women with menorrhagia have shown that hysterectomy can be avoided in 80% of cases, and that this system is an effective therapy for menorrhagia. The levonorgestrel intrauterine system may also be useful for managing symptoms of endometriosis, adenomyosis and endometrial hyperplasia, based on observational data.

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Condition tags

endometriosisadenomyosisdysmenorrheadyspareunia

MeSH descriptors

Menstruation Disturbances Adult Adult Catheter Ablation Catheter Ablation Catheter Ablation Endometriosis Endometriosis Endometriosis Endometriosis Endometrium Endometrium Endometrium Female Female Humans Humans Leiomyoma Leiomyoma Leiomyoma

Citation neighborhood (2-hop)

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