Menstrual disturbance

In the past, the mainstay of surgical treatment of menorrhagia was hysterectomy. This is an effective form of treatment in terms of outcome but it does carry a degree of morbidity and prolonged convalescence. Endometrial ablation techniques were initially developed using the urological resectoscope, and recently, simpler methods have been developed to strive to obtain high patient satisfaction rates with less associated morbidity. This article looks at the considerations in the development of these new treatments, as well as medical treatment options such as the use of intra-uterine progestogens.