title: Success rate, quality of life, and descriptive analysis after generalized endometrial ablation in an obese population.
abstract: OBJECTIVE
  To describe the success rate of and the quality of life after global endometrial ablation in an obese population.
  
  
  METHODS
  A follow-up survey was mailed to 72 women who had undergone global endometrial ablation. The survey included a menorrhagia-specific NovaSure endometrial ablation questionnaire. The mean follow-up time was 2.5years.
  
  
  RESULTS
  Forty-four women (61%) responded, with a mean body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) of 30.5. Overall, patients reported a decrease in missed social activities, in inability to perform activities of daily living, in missed work days, in bleeding tendencies, and in pain. The amenorrhea rate was 37%, and the success rate (those not requiring any further therapeutic treatment) was 86%. Patient satisfaction was 93%.
  
  
  CONCLUSIONS
  Global endometrial ablation improved quality of life for obese women with menorrhagia and had a high rate of satisfaction, even for patients not achieving amenorrhea. Patients with a BMI of more than 34 showed a trend toward failure and a higher rate of hysterectomy.
authors.affiliation: Department of Obstetrics and Gynecology, Garden City Hospital, Michigan State University State Wide Campus System, Garden City, USA. abdalla8@msu.edu
authors.forename: Mona
authors.initials: M
authors.lastname: Fakih
authors.forename: Victor
authors.initials: V
authors.lastname: Cherfan
authors.forename: Eman
authors.initials: E
authors.lastname: Abdallah
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000568:Amenorrhea / Q000209:etiology; D015992:Body Mass Index; D055356:Endometrial Ablation Techniques / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008595:Menorrhagia / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D017060:Patient Satisfaction; D011788:Quality of Life; D012189:Retrospective Studies; D016896:Treatment Outcome