Amenorrhea and Endometrial Ablation: A Review and New Insights

Amenorrhea and menorrhagia are opposites and not in any way related to each other. However, the main goal of endometrial ablative therapy in menorrhagia is to establish amenorrhea. Therefore, it is obvious that we spend some words on this subject. Menorrhagia is an important problem in premenopausal women visiting their gynaecologist or general practitioner. Treatment of menorrhagia is diverse: oral contraceptives, intra-uterine hormone devices, hysterectomy, or, endometrial ablation. The latter has proved itself as a valuable technique which is fast, minimal invasive and cost-effective without need for hospitalisation. In this chapter we will discuss the history, the different techniques, indications and complications and some special features of endometrial ablation.