title: One patient, two uteri, two endometrial ablations: case report of thermal balloon ablation in uterine didelphys.
abstract: OBJECTIVE
  To describe the clinical application and outcomes after endometrial ablation with ThermachoiceIII (Ethicon, Somerville, NJ) in a patient with uterine didelphys with heavy menstrual bleeding.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Inner-city community obstetrics and gynecology clinic.
  
  
  METHODS
  A 44-year-old Hispanic woman, gravida 3, para 0, with three spontaneous abortions.
  
  
  METHODS
  The patient underwent diagnostic hysteroscopy, gynecologic dilation and curettage, and endometrial ablation with ThermachoiceIII.
  
  
  METHODS
  Menstrual pattern at 3 months postoperatively, as either amenorrhea (complete lack of menstrual flow), hypomenorrhea (scant or minimal flow lasting <5 days, requiring only light pads), or failure (flow similar to pretreatment state or requiring any other therapy), as well as dysmenorrhea reduction from baseline. Hemoglobin value at 3 months was compared with baseline.
  
  
  RESULTS
  At 3 months, hypomenorrhea was maintained. Bleeding days were 10 per month at baseline and 2 per month after therapy. Visual analogue scale score for dysmenorrhea was 8 at baseline and 2 (mean) at study end. Hemoglobin was 8.9 g/dL at baseline (preoperatively) and 11.1 g/dL at 3 months postoperatively.
  
  
  CONCLUSIONS
  Successful conservative therapy of menorrhagia seems possible with thermal balloon ablation in a uterine didelphic patient.
authors.affiliation: Women's Specialty Center Dallas, Dallas, Texas 75208, USA. ChapaMD@gmail.com
authors.forename: Hector O
authors.initials: HO
authors.lastname: Chapa
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Venegas
authors.forename: Alfred G
authors.initials: AG
authors.lastname: Antonetti
mesh_terms: D000026:Abortion, Habitual / Q000601:surgery / Q000628:therapy; D000328:Adult; D002404:Catheterization / Q000379:methods; D055356:Endometrial Ablation Techniques / Q000379:methods*; D005260:Female; D006801:Humans; D011247:Pregnancy; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*