Mechanical preparation of endometrium prior to endometrial ablation

Objective:To evaluate the efficacy of mechanical preparation of the endometrium prior to endometrial ablation.Methods:Sixty-eight women with AUB were treated by hysteroscopic electric resection of the endometrium with a continuous flow resectoscope. Among them, 36 cases with dysfunctional uterine bleeding received TCRE, 11 cases with submucous myomas received TCRM and TCRE, 21 cases with endometrial polyps received TCRP and TCRE, the endometrial cavity was denuded by curettage just before ablation. All specimens of ablation were confirmed by pathologic examination. The thickness of the endometrium was measured.All the patients were followed. Results:The procedure was completed in all cases and we had no serious complications. The endometrial thickness measurements were 2 mm. The mean follow-up time was 20 months from the time of the procedure. The effective rate of menstrual symptoms ameliorated was in 91.2% of the patients. Conclusion: Mechanical preparation of the endometrium prior to endometrial ablation may reduce endometrial thicknessis. It is appear to be the effective and acceptable pretreatment regimens.