Tiredness and anaemia, time off work, cost of sanitary measures, inconvenience to lifestyle and relationships – whatever the consequence, heavy menstrual bleeding can have a real impact on affected individuals. There are heaps of options, ranging from a few dollars to thousands, and given dissatisfaction rates with each, trialling of several options can prove even more expensive to the consumer. Fortunately, a systematic review and meta-analysis of 30 trials published in the BMJ has provided an excellent overview of treatments for heavy bleeding.
Interestingly, predictors of dissatisfaction for some times of endometrial destruction included length of uterine cavity and presence of fibroids and polyps – but don’t forget the complications that come with doing a hysterectomy. Endometrial destruction offered quicker surgery, shorter hospital stay, faster recovery periods and return to normal activities, less postoperative pain and a lower incidence of urinary tract infections perioperatively.