Surgical Treatment of Menorrhagia


Factors to consider

  • cancer
  • future fertility
  • Age
  • sexual function
  • patient wishes

Hysteroscopic Techniques

  • Local anaesthetic
    • Polypectomy
  • General anaesthetic
    • submucous fibroid or fibroid polyp
  • Research
    • hysteroscopic myolysis
  • Glycine medium - as use of saline prevents use of diathermy

Risks

  • Uterine perforation
  • Haemorrhage
  • Fluid overload
  • Anaphylaxis
  • Infertility

Techniques