The case against endometrial ablation for treatment of heavy menstrual bleeding

@article{Louie2018TheCA,
  title={The case against endometrial ablation for treatment of heavy menstrual bleeding},
  author={M. Louie and Kelly N. Wright and Matthew T. Siedhoff},
  journal={Current Opinion in Obstetrics and Gynecology},
  year={2018},
  volume={30},
  pages={287–292}
}
Purpose of review Endometrial ablation is a common treatment for heavy menstrual bleeding, but serious limitations and long-term complications exist. Our purpose is to summarize the use of endometrial ablation devices, potential short-term and long-term complications, cost effectiveness, and quality of life in relation to alternative treatments. Recent findings There is insufficient evidence to strongly recommend one endometrial ablation device over another. Providers should consider and… Expand
Prediction of unsuccessful endometrial ablation: a retrospective study
TLDR
Two multivariate models to predict the chance of failure and surgical re-intervention within 2 years after endometrial ablation are proposed and could be useful for both the doctor and patient and may contribute to the shared decision-making. Expand
Treatment of menorrhagia due to aplastic anemia by hysteroscopic resection of endometrial functional layer and levonorgestrel-releasing intra-uterine system
TLDR
For young women with future fertility desire, LNG-IUS following hysteroscopic resection of endometrial functional layer is a safe and effective way against endometrian ablation or hysterectomy. Expand
Prediction of unsuccessful endometrial ablation: random forest vs logistic regression
Background Five percent of pre-menopausal women experience abnormal uterine bleeding. Endometrial ablation (EA) is one of the treatment options for this common problem. However, this technique showsExpand
Optimizing surgical management of patients who decline blood transfusion.
TLDR
The care of a patient who declines blood transfusion may be complex, but gynecologic surgeons can safely and successfully offer a wide variety of therapies depending on the patient's goals and needs. Expand
Current practices in menstrual management in adolescents with cancer: A national survey of pediatric oncology providers
Adolescents and young adult (AYA) women with cancer are at risk of heavy menstrual bleeding (HMB) due to thrombocytopenia, coagulopathy, and/or disruption of the hypothalamic‐pituitary‐gonadal axis.Expand

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Comparing all trade‐offs associated with 4 possible treatments of heavy menstrual bleeding, the levonorgestrel‐releasing intrauterine system was superior to both hysterectomy and endometrial ablation in terms of cost and quality of life. Expand
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