Microwave endometrial ablation for menorrhagia: outcome at 2 years--experience of a district general hospital
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Microwave endometrial ablation for menorrhagia demonstrated an 80% success rate at 6 months, decreasing to 70% at 2 years, with higher efficacy observed in women aged 45 and over.
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Abstract
One hundred and twenty-three women underwent microwave endometrial ablation (MEA) for the treatment of dysfunctional uterine bleeding (DUB). The mean age at treatment was 40.2 years and the average treatment time was 2 minutes 50 seconds. All patients stayed as day cases, except for two who stayed overnight, one due to pain and the other due to urinary retention. The follow-up was carried out at 6 months, 1 and 2 years, respectively. The success rate was 80%, 76% and 70% at 6 months and 1-year and 2-year follow-up. The patient satisfaction rate was 80%, 75% and 68% at 6 months, 1 year and 2 years, respectively. However, in women 45 years old and over the success rate was more than 90%, suggesting that MEA could be a preferred procedure for treatment of DUB in this age group compared to younger women, especially in those who do not benefit from the mirena intrauterine system or decline it. Approximately 70% of patients, who underwent hysterectomy due to the failure of treatment, had uterine/pelvic pathology in the form of adenomyosis, fibroid uterus or endometriosis; therefore prior to MEA, proper patient selection is vital. There were a few minor complications but no uterine perforation or emergency hysterectomies in the group studied.
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References (5)
- A comparison of flurbiprofen, tranexamic acid, and a levonorgestrel-releasing intrauterine contraceptive device in the treatment of idiopathic menorrhagia via openalex
- W1995900288 via openalex
- W2012994356 via openalex
- W2146829467 via openalex
- W4234014770 via openalex
Cited by (5)
- Microwave endometrial ablation after endometrial curettage for the management of heavy menstrual bleeding 2015
- The Complementary and Alternative Medicine for Endometriosis: A Review of Utilization and Mechanism 2014
- Effect of a hormone-releasing intrauterine system (Mirena®) on aromatase and Cox-2 expression in patients with adenomyosis submitted or not, to endometrial resection 2012
- Adenomyosis: Still largely under-diagnosed 2009
- Pelvic pain following microwave endometrial ablation—is hysteroscopic adhesiolysis worthwhile? 2008
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- europepmc
- last seen: 2026-06-04T01:30:01.192114+00:00
- openalex
- last seen: 2026-06-04T00:00:01.174412+00:00
- pubmed
- last seen: 2026-05-13T22:15:35.797702+00:00
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