Endometrial ablation in women with menorrhagia Urological and Genital Diseases Excessive bleeding in the premenopausal period
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women (aged 34 to 55 years) with menorrhagia ( > 150 points on Higham pictorial chart score) 2. Normal uterine cavity (confirmed by saline infusion sonography or hysteroscopy) 3. Normal Pap smear 4. A premenopausal follicular stimulating hormone (FSH)-level of less than 40 IU/I
Exclusion criteria
Exclusion criteria: 1. Presence of coagulopathies 2. Use of anti-coagulants 3. A desire to preserve fertility 4. Prior uterine surgery, other than low segment Caesarean section 5. Suspected or confirmed uterine malignancy 6. Intra cavitairy pathology, except polyps < 1cm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of women with amenorrhea measured at 6 weeks, 6 months and 12 months after treatment, scored (zero) on a pictorial chart menstruation score. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Painscores: Visual analogue scales were used to measure pain during the procedure when dilating the cervix, during the endometrial ablation, and at 1, 4, 12 and 24 hours after the procedure 2. Reduction in menstrual bleeding : measured by a pictorial chart score at baseline and at each follow up visit at 6 weeks, 6 months and 12 months after the endometrial ablation 3. Patient satisfaction : asked at each follow up visit at 6 weeks, 6 months and 12 months after the procedure ( completely satisfied, satisfied, doubtful, unsatisfied) 4. Re-interventions: measured at 6 weeks, 6 months and12 months after the endometrial ablation 5. Quality of life: measured with a Shaw questionnaire (multi attribute utility menstruation scale) at baseline, and each follow up visit at 6 weeks, 6 months and 12 months follow up | — |
Countries
Netherlands