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- W2072318773 abstract "Menorrhagia is defined subjectively as excessive menstrual blood loss or objectively as menstrual blood loss exceeding 80 ml per menses. This symptom accounts for 12% of all gynaecological referrals and in 1993 £7176 595 was spent on prescriptions to treat it. However, 40% of women referred for an opinion have a menstrual loss which, if measured, would be less than 80 ml, but of equal importance is the impact of the blood loss on the quality of life for a woman. A staggering statistic is that 20% of women in the U K will have had a hysterectomy by the age of 50 years. Dysfunctional uterine bleeding will be the indication in 60% of these cases and the majority of these uteri, subsequently, are found to be histologically normal. An awareness of the significant surgical and psychological complications that accompany a hysterectomy has made this operation unacceptable to many women as a treatment for menorrhagia. Non-invasive alternatives have been investigated, commencing with chemical methods to ablate the endometrium in the 1960s, which were largely unsuccessful. Goldrath ~ first introduced laser ablation of the endometrium in the 1970s, and De Cherney and Polan 2 electrosurgical resection of the endometrium in 1980. These first operations involved patients with severe blood dyscrasias or who were otherwise medically unfit for a hysterectomy. The technique has become increasingly popular in the U K over the late 1980s and 1990s because of its apparent successful treatment of menstrual disorders without the need for a hysterectomy. In mid 1991, the Royal College of Obstetricians and Gynaecologists (RCOG) 3 conducted an audit which showed that 56% of National" @default.
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- W2072318773 date "1998-06-01" @default.
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- W2072318773 title "Endometrial ablative surgery" @default.
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- W2072318773 doi "https://doi.org/10.1016/s0957-5847(98)80018-8" @default.
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