Combined Endometrial Ablation and Levonorgestrel Intrauterine System Use in Women With Dysmenorrhea and Heavy Menstrual Bleeding: Novel Approach for Challenging Cases

Combined transcervical endometrial resection and levonorgestrel device treatment compared to transcervical endometrial resection for abnormal uterine bleed

“…However, their results did not reach statistical significance. The difference between Papadakis et al 8 and our results, could be due to our larger study population; 260 participants as opposed to 88, which is also one of the strengths of this study. Another strength is the numerous similarities between the two treatment groups.…”

Outcome of Novasure Endometrial Ablation in Women with Heavy Menstrual Bleeding with or without Dysmenorrhoea, Including Those with Uterine Cavity Length More Than 6.5 cm

“…Thus, in our study the failure rate was 3.1% in women with heavy periods only and 5.9% in women with heavy and painful periods. Our finding compares favourably with a recent study comparing outcome of NEA alone versus NEA and Mirena IUD insertion in women with HMB and dysmenorrhea which reported that only one woman who had NEA and Mirena insertion had hysterectomy but 24% of women who had NEA alone needed hysterectomy [11].…”

“…In addition, endometrial ablation is more successful in achieving amenorrhea, and has higher levels of patient satisfaction in women without dysmenorrhea. Women with dysmenorrhea can benefit from combining endometrial ablation with insertion of a levonorgestrel IUD (Mirena) [11].…”

Intraoperative Predictors of Long-term Outcomes After Radiofrequency Endometrial Ablation

“…The RFA index may also help identify women who could benefit from adjuvant therapy at the time of the procedure and improve postprocedure counseling. Recent data within this cohort have shown decreased treatment failure for pain with a concomitant levonorgestrelreleasing intrauterine system and EA, but further studies are needed [22]. In addition, these findings could provide a basis for future development of RFA technology.…”