A simple method of coagulating endometrium in patients with therapy-resistant, recurring hypermenorrhea

Study Objective. To assess the efficacy, safety and tolerability of hydroth ermablation in the treatment of recurrent menorrhagia. Design. Prospective, nonrandomized survey (Canadian Task Force classificati on II-2). Setting. Endoscopic center at a university hospital. Patients. Eighteen premenopausal women with recurring menorrhagia resistant to hormone treatment. Interventions. Coagulation of the endometrium at 90 degrees C for 10 minute s under hysteroscopic control. Measurements and Main Results. During follow-up of least 12 months, nine (5 0%) of patients had amenorrhea and 17 (94%) had reduction or cessation of p athologic blood flow. One woman underwent hysterectomy because of recurrent dysmenorrhea. Conclusion. In this study, hydrothermablation was a safe and effective meth od of treating recurrent menorrhagia. It does not require extensive trainin g and may help avoid hysterectomy.