BMJ 1995;310:802 (25 March)

Letters

Amenorrhoea need not be an end point

EDITOR,--Results from an audit of this hospital's use of endometrial ablation over the past four years accord with S B Pinion and colleagues' findings1 and the interim Royal College of Obstetricians and Gynaecologists' interim report of its national audit of the procedure. Review of more than 300 episodes of treatment supports statements that discharge on the same or the next day is safe and acceptable. Dysmenorrhoea improved in a quarter of women (52/210), and pain at other times of the menstrual cycle improved in 36 of 95. Since endometrial ablation reduces menstrual flow it is not surprising that patients with the variant of painful periods associated with passage of clots should derive benefit.

The accumulated experience supports Pinion and colleagues' proposal that endometrial ablation should be regarded as an option for the 30-40% of hysterectomies performed for dysfunctional uterine bleeding.2 Women benefit from the quick postoperative recovery and reduced morbidity,3 . . . [Full text of this article]


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?

Access all current jobs at BMJ Group
Whats new online at Student BMJ
Listen to the latest BMJ Interview