Abstract

Heavy Menstrual Bleeding (HMB) is a common health problem and may be associated with iron deficiency anaemia affecting the quality of life of many women. Problems of HMB can be more complicated when it is associated with dysmenorrhea. Traditionally, medical management of HMB has been the first line therapy. Unfortunately, many options can be associated with hormonal side effects or lack of efficacy, leading to discontinuation of medical therapy and requirement of surgical interventions.

Highlights

  • The success rate was lower in women with uterine cavity length marginally greater than 6.5 cm, the outcome was still acceptable

  • Heavy Menstrual Bleeding (HMB) is a common health problem and may be associated with iron deficiency anaemia affecting the quality of life of many women

  • The present study aims to evaluate the outcomes of the Novasure Endometrial Ablation (NEA) procedure in women with marginally larger uterine cavity lengths with and without dysmenorrhea

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Summary

Introduction

Heavy Menstrual Bleeding (HMB) is a common health problem and may be associated with iron deficiency anaemia affecting the quality of life of many women. Problems of HMB can be more complicated when it is associated with dysmenorrhea. Medical management of HMB has been the first line therapy. Many options can be associated with hormonal side effects or lack of efficacy, leading to discontinuation of medical therapy and requirement of surgical interventions [1]. The most common surgical interventions for women who have completed their family are endometrial ablation or a hysterectomy. A hysterectomy will be 100% effective in terms of cessation of blood loss and dysmenorrhea, but it is a substantial, invasive operation, with lengthy recovery time and side effects

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