ENDOMETRIAL THERMAL COAGULATION - DEGREE OF UTERINE FIBROSIS PREDICTSTREATMENT OUTCOME

Objective: To study the uterine cavity after thermal endometrial destr uction for the treatment of menorrhagia by means of a balloon catheter , the Cavaterm(TM) system, To relate the appearance of the uterine cav ity to the outcome of the treatment, Methods: Fifty-one of the first 6 0 women treated with balloon endometrial destruction were examined wit h hysteroscopy and saline infusion sonography 11-28 months after treat ment, Results: Patients with minimal or no bleeding after thermal endo metrial destruction had more uterine fibrosis than patients bleeding m ore, Conclusion: The greater the degree of fibrosis of the uterine cav ity after balloon endometrial destruction by thermal coagulation, the better the effect on menorrhagia.