ENDOMETRIAL RESECTOSCOPIC ABLATION IN PATIENTS WITH MENOMETRORRHAGIA AS A SIDE-EFFECT OF ANTICOAGULANT-THERAPY

Objective: The study was conducted to examine the effect of endometria l ablation therapy for patients suffering from coagulation abnormaliti es and presenting with failed medical treatment for menometrorrhagia. Study Design: Eleven patients with a mean age of 42 pears (range 39-45 ) and with coagulation disorders in whom medical therapy for abnormal uterine bleeding was unsuccessful, were treated by the ablation proced ure under video monitoring. Complications, length of hospitalisation a nd long-term follow-up were noted. The age of the patients ranged from 39-45 years. Menstrual characteristics were scored, but blood loss be fore and after the procedure was not quantified. Results: Uterine fibr oids were found in two patients. The duration of the ablation procedur e was 20 min and was prolonged for 30 to 40 min when tibroids were dia gnosed. During the operation, no excessive bleeding was noted in ten p atients and postoperative recovery was rapid in all. After a one-year follow-up the overall satisfaction of the patients was high (10/11). C onclusions: Our initial experience with a selected group of patients s uffering from coagulation abnormalities is promising. Bearing in mind the risks of a major operation in this group of patients, endometrial ablation should be seriously considered. (C) 1998 Elsevier Science Ire land Ltd.