title: Thermal balloon endometrial ablation in the treatment of heavy menstrual bleeding.
abstract: OBJECTIVE
  Heavy menstrual bleeding is one of the common health problems in women. The first-line therapy of heavy menstrual bleeding is the medical therapy, but this is not successful. Currently, global ablation procedures were introduced for treating of heavy menstrual bleeding. The aim of this study was to the analysis of the patient with menorrhagia performed operations of Cavaterm in our university affiliated hospital, and explores its effectiveness and acceptability.
  
  
  METHODS
  A retrospective study was conducted on 30 patients with menorrhagia who were unresponsive to hormone therapy or not candidates for hysterectomy underwent endometrial ablation using Cavaterm. Preoperative and postoperative PBAC Scoring System was used to assess menorrhagia. Outcome measures were amenorrhea rates, reduction of menstrual flow rates, heavy bleeding, menstrual and patients' satisfaction rates at 3, 6 and 12 months postoperative.
  
  
  RESULTS
  After a follow-up at 3, 6, and 12 months postoperative, 36.7%, 43.3%, and 36.7% of women had a reduction in vaginal bleeding, respectively. Amenorrhea rates were 56.7%, 50.0%, and 56.7% in the Cavaterm at 3, 6, and 12 months. The rate of women's reported good or excellent satisfaction was 93.3% in 12 months. During the follow-up period, no woman received a subsequent hysterectomy.
  
  
  CONCLUSIONS
  The findings of this research indicated that outcome with the Cavaterm was as good for women with menorrhagia. Therefore, it is necessary to emphasize on lower operative and post-operative procedural risk and a deleterious effect on patients who were unresponsive to hormone therapy.
authors: Fatemezahra Infertility and Reproductive Health Research Center, Department of Obstetrics and Gynecology, Babol University of Medical Sciences, Iran.
authors: Zinatossadat
authors: Z
authors: Bouzari
authors: Fatemezahra Infertility and Reproductive Health Research Center, Department of Obstetrics and Gynecology, Babol University of Medical Sciences, Iran.
authors: Shahla
authors: S
authors: Yazdani
authors: Resident of Department of Obstetrics and Gynecology of Babol University of Medical Sciences, Iran.
authors: Samira
authors: S
authors: Azimi
authors: Fatemezahra Infertility and Reproductive Health Research Center, Department of Midwifery, Babol University of Medical Sciences, Iran.
authors: Mouloud Agajani
authors: MA
authors: Delavar
mesh_terms: D000328:Adult; D017115:Catheter Ablation / Q000706:statistics & numerical data; D055356:Endometrial Ablation Techniques / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data*; D008595:Menorrhagia / Q000628:therapy*; D008598:Menstruation / Q000502:physiology; D017060:Patient Satisfaction; D011788:Quality of Life; D016896:Treatment Outcome; D055815:Young Adult
keywords: Abnormal uterine bleeding; Cavaterm; menorrhagia; thermal balloon endometrial ablation
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