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Uterine balloon therapy for the treatment of menorrhagia
Authors:Swarnima Agarwal  Adarsh Bhargava  Nimmi Chutani  Pushpa Nagar
Affiliation:1. Department of Obstetrics and Gynecology, S.M.S. Medical College, Zenana Hospital, Jaipur, India
2. Department of Obstetrics and Gynecology, S. M. S. Medical College, Zenana Hospital, Jaipur, 302012, Rajasthan, India
Abstract:

Objective(s)

To evaluate the effectiveness of uterine balloon therapy for the treatment of menorrhagia and to determine its prognostic factors.

Method(s)

Seventy five patients were treated with uterine balloon therapy with thermachoice II for intractable menorrhagia without detectable pathology and the results were statistically analyzed regarding procedure efficacy, safety, side effects and prognostic factors at follow-up periods of one month, three months, six months and 12 months.

Results(s)

After undergoing uterine balloon therapy, 41.30% patients attained eumenorrhea, 30.43% hypomenorrhea and 15.21% amenorrhea at the end of 12 months follow-up. Retroverted uterus, prolonged duration of menstruation, endometrial thickness of at least 9mm and uterine depth >10 cm were associated with an increased risk of treatment failure.

Conclusion(s)

Uterine balloon therapy is an efficient and reliable modality to treat women with intractable menorrhagia especially those who have completed their families but do not want to part with their uterus which of course is without any organic pathology.
Keywords:menorrhagia   uterine balloon therapy   endometrial ablation
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