Laser photovaporization of endometrium for the treatment of menorrhagia

Goldrath, Milton H.; Fuller, Terry A.; Segal, Shmuel

doi:10.1016/0002-9378(81)90251-9

Cited by 474 publications

(114 citation statements)

References 6 publications

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“…A variety of hormonal therapies, mifepristone, and gonadotropin-releasing hormone agonists and antagonists have limited effects in reducing uterine volume and bleeding, but most of these treatments have not been evaluated in randomized trials. (11,12) Patients with ovulatory dysfunction ( AUB-O) are best treated with oral contraceptives, NSAIDs (antiprostaglandins), or progestins or progestin-released IUD. Cyclic use of progestins and oral contraceptives reduce AUB, but ergot derivatives do not.…”

Section: The General Assessment and Management Of Aubmentioning

confidence: 99%

Hysteroscopic Surgery as an Alternative for Hysterectomy

Yin¹

2012

Hysterectomy

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Section: The General Assessment and Management Of Aubmentioning

confidence: 99%

Hysteroscopic Surgery as an Alternative for Hysterectomy

Yin¹

2012

Hysterectomy

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“…Hysteroscopic laser ablation The first laser method was a neodymium-YAG laser, which destroyed the endometrium through a hysteroscope [35]. Observational studies have reported a satisfaction rate up to 97% and amenorrhea rates ranging between 25% and 60% after hysteroscopic laser ablation (HLA) ( Table 1) [36][37][38][39][40].…”

Section: First-generation Endometrial Ablation Techniquesmentioning

confidence: 99%

Treatment options for dysfunctional uterine bleeding: evaluation of clinical results

et al. 2011

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Abnormal uterine bleeding is one of the most common problems in women of reproductive age, and dysfunctional uterine bleeding (DUB) accounts for about half the cases. The aim of this review is to present all treatment options for women suffering from DUB and to evaluate their effectiveness. A detailed search strategy on electronic databases was carried out to identify trials and reviews on management of abnormal uterine bleeding. Tranexamic acid is the most effective medical treatment. A levonorgestrel-releasing intrauterine device is a low-cost, simple, and effective medical method, comparable to hysterectomy in terms of quality of life. In cases of DUB resistant to medical treatment, surgical treatment should be offered. First-generation ablation techniques are effective, but have a long learning curve. Second-generation ablation devices are highly effective and safe alternatives, thoroughly compared to first-generation techniques. Hysterectomy is the only method that guarantees treatment of dysfunctional uterine bleeding, but is a major operation associated with higher morbidity and mortality rates. Proper counseling of each woman with DUB regarding all treatment modalities can provide the best choice for each patient. More prospective randomized trials are needed to establish the effectiveness of these methods

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“…The first effective ablation of the endometrium under hysteroscopic vision for the treatment of dysfunctional uterine bleeding was performed using laser photovapourisation (Goldrath et al, 1981). A few years later rollerball ablation with electrosurgical equipment (Lin et al,.…”

Section: First Generation Techniquesmentioning

confidence: 99%

The Management of Dysfunctional Uterine Bleeding

Çorbacıoğlu¹

2011

Update on Mechanisms of Hormone Action - Focus on Metabolism, Growth and Reproduction

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Laser photovaporization of endometrium for the treatment of menorrhagia

Cited by 474 publications

References 6 publications

Hysteroscopic Surgery as an Alternative for Hysterectomy

Hysteroscopic Surgery as an Alternative for Hysterectomy

Treatment options for dysfunctional uterine bleeding: evaluation of clinical results

The Management of Dysfunctional Uterine Bleeding

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