OBJECTIVES: The aim of the present study was to evaluate the eticacy of microwave endometrial ablation after endometrial curettage, in selected @entity1 with heavy @entity548 . MATERIAL AND METHODS: Thirty-two premenopausal @entity1 with heavy @entity548 underwent microwave endometrial ablation at the Department of Obstetrics and Gynecology of the University of Patras Medical School. All @entity1 did not respond to previous medical treatment, had completed their childbearing, and did not desire future fertility. The authors chose endometrial curettage rather than hormonal pretreatment ( @entity1176 analogs, @entity1872 ) for endometrial preparation. Posttreatment follow up protocol included physical and ultrasonographic evaluation at three, six, nine, and 12 months for the first year and yearly after. RESULTS: The authors had no cases of uterine perforation, @entity130 to adjacent organs, and @entity281 or @entity295 . During follow up, there was a gradual decrease in @entity2588 rate (90.6% - 68.8%) and in satisfaction rate (90.6% - 71.9%). Moreover during follow up, eight @entity1 underwent to total abdominal hysterectomy. Among them, seven @entity1 had uterine @entity1868 and one @entity1 had @entity1870 . CONCLUSIONS: Endometrial preparation with endometrial curettage seems to be a good alternative to hormonal pretreatment. It has the advantage of avoiding delays, side effects, and cost of hormonal pretreatment. Moreover, microwave endometrial ablation after endometrial curettage is successful and highly acceptable.

Microwave endometrial ablation after endometrial curettage for the management of heavy XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'woman'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity548 :: ('MESH:D006470', 'Disease') :: ['menstrual bleeding'] @entity1870 :: ('MESH:D062788', 'Disease') :: ['adenomyosis'] @entity1872 :: ('MESH:D003613', 'Chemical') :: ['danazol'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity1176 :: ('MESH:D007987', 'Chemical') :: ['GnRH'] @entity1868 :: ('MESH:D009214', 'Disease') :: ['myomas'] @entity2588 :: ('MESH:D000568', 'Disease') :: ['amenorrhea'] @entity130 :: ('MESH:D014947', 'Disease') :: ['thermal injury']
@entity548 :: (MESH:D006470,Disease) :: ['menstrual bleeding']
