Endometrial laser intrauterine thermotherapy for the treatment of dysfunctional uterine bleeding: the first British experience

Forty patients due to undergo endometrial ablation as a treatment for dysfu nctional uterine bleeding were recruited to assess the efficacy and safety of endometrial laser intrauterine thermo-therapy using the gynelase. At 12 months the average menstrual score reduction was 88%, the amenorrhoea rate was 70%, and the hypomenorrhoea rate 16%. Four women (10%) have had a hyste rectomy for persistent menorrhagia, and one (3%) for pelvic pain. One patie nt (3%) has had a further endometrial laser ablation. There were no major c omplications, and 34 patients (85%) were most satisfied with the treatment. The system is easy to use and has a short learning curve.