Endometrial laser intrauterine thermotherapy for the treatment of dysfunctional uterine bleeding: the first British experience

Abstract

Forty patients due to undergo endometrial ablation as a treatment for dysfunctional uterine bleeding were recruited to assess the efficacy and safety of endometrial laser intrauterine thermo‐therapy using the gynelase. At 12 months the average menstrual score reduction was 88%, the amenorrhoea rate was 70%, and the hypomenorrhoea rate 16%. Four women (10%) have had a hysterectomy for persistent menorrhagia, and one (3%) for pelvic pain. One patient (3%) has had a further endometrial laser ablation. There were no major complications, and 34 patients (85%) were most satisfied with the treatment. The system is easy to use and has a short learning curve.