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Review Article   

Minerva Obstetrics and Gynecology 2022 Aug 01

DOI: 10.23736/S2724-606X.22.05101-6


language: English

Endometrial ablation techniques in treating menorrhagia

Samala MANASA 1 , Swetha S. PASUPULA 1, Shruthi MUDIGONDA 1, Rama R. TADIKONDA 2

1 Pharm D, CMR College of Pharmacy, Kandlakoya, Medchal, India; 2 Department of pharm D, CMR College of pharmacy, Kandlakoya, Medchal, India

Menorrhagia is a frequent gynecological problem that is clinically described as excessive blood loss of 80 ml per menstrual cycle. It has the potential to lower their quality of life and induce anemia. Medical therapy has typically been the first line of treatment, however, it is frequently ineffectual. Hysterectomy, on the other hand, is clearly 100 percent effective in stopping bleeding, but it is more expensive and can cause serious problems. So the endometrial ablation is preferred in which the endometrial layer is destroyed or removed during the procedure. To 'ablate' (remove) the endometrial lining, a variety of procedures have been devised. The gold standard procedures-resectoscopic procedures (laser, transcervical endometrial resection, and rollerball) require hysteroscopic visualization of the uterus and while safe, necessitate expert surgeons. Several innovative procedures have lately been developed, the majority of which may be conducted blindly and take less time -Nonresectoscopic procedures. Many of these strategies are still in the process of being developed, refined, and investigated. This article discusses the various techniques and procedures used in endometrial ablation, the importance of the physician using endometrial thinning agents because success rates are higher when thinning agents are used, and the importance of women understanding the post complications mainly related to pregnancy. Women should be helped to make informed management decisions by discussing the risks and benefits of each treatment with their consultant, because there are many treatment options available, with no one option being superior in all respects, patient preference and treatment preferences should be considered when deciding on management.

KEY WORDS: Ablation; Techniques; Endometrial; Menorrhagia

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