Dr. F. Loffer presented data that demonstrated that the ThermaChoice balloon therapy is as effective as roller ball endometrial ablation and in fact that there was a slightly higher hysterectomy rate with roller ball endometrial ablation than with the thermal balloon. Dr. J.L. Mergui presented the hysteroscopic signs of adenomyosis which are diverticula orifices or blue submucosal cysts with focal hypervascularization zones, rigid sides or straight and fibrosed uterine cornua. Dr. Mergui demonstrated that mild and medium adenomyosis can be treated with endometrial resection. Severe adenomyosis, diffuse and often deeper than 10 mm, resulted in therapeutic failures of endometrial ablation. Contemporary Use of GnRHa and Endometriosis Dr. Andre LeMay presented the consensus on ovarian suppression for endometriosis.
Oral contraceptives are less effective.
The efficacy of ovarian suppression before and after surgery for pain has not been established. The recurrence rate is proportional to the severity of the disease and the symptom-free interval is related to the degree of estrogen suppression. Oral contraceptives are less effective. The efficacy of ovarian suppression before and after surgery for pain has not been established. The recurrence rate is proportional to the severity of the disease and the symptom-free interval is related to the degree of estrogen suppression.