Efficacy of multiple microwave endometrial ablation technique for menorrhagia resulting from adenomyosis
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Abstract
AIM: Conventional microwave endometrial ablation (MEA) can be insufficient to control menorrhagia resulting from adenomyosis. We compared the standard single ablation technique with multiple MEA - repeating ablation three times in the same region - in patients with adenomyosis and menorrhagia. MATERIAL AND METHODS: We performed single MEA in 18 patients and multiple MEA in seven patients between 2007 and 2013. We compared the efficacy of single and multiple MEA using a visual analog scale (VAS) for menorrhagia, dysmenorrhea, and patient satisfaction. We also evaluated the incidence of menorrhagia recurrence, amenorrhea, and procedure complications in relation to patients' clinical factors. RESULTS: VAS scores for improved menorrhagia and patient satisfaction were significantly higher in the multiple MEA group than in the single MEA group; however, the operative time was longer in the multiple-treatment group. There were no statistical differences between groups in hemoglobin levels, VAS improvement for dysmenorrhea, menorrhagia recurrence, frequency of complications, or amenorrhea rate. CONCLUSION: Multiple MEA successfully controls menorrhagia from adenomyosis and achieves a higher satisfaction rate than single MEA.
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References (8)
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Cited by (6)
- Endometrial cancer after endometrial ablation for adenomyosis 2022
- Adenomyosis in Reproductive Years: Abnormal Uterine Bleeding and Pain 2022
- Minimally invasive treatment of adenomyosis 2018
- Combination of microwave endometrial ablation and postoperative dienogest administration is effective for treating symptomatic adenomyosis 2018
- Long‑term outcomes of microwave endometrial ablation for treatment of patients with menorrhagia: A retrospective cohort study 2017
- CONTEMPORARY METHODS OF OPERATIVE TREATMENT OF SEVERE ADENOMYOSIS 2016
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:17:46.044120+00:00
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