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

• Trans-Cervical Resection of Endometrium
• Radio-frequency ablation
• Myomectomy
• Hysterectomy