Microwave endometrial ablation at a frequency of 2.45 GHz for menorrhagia: analysis of its efficacy, recurrence rate, and complications

In late years, microwave endometrial ablation (MEA) has been attracting attention as an effective and minimally invasive treatment alternative to hysterectomy. Microwave irradiation removes whole endometrium including its basal layer and reduces the amount of menstrual bleeding. The authors performed MEA in 103 patients with hypermenorrhea from August 2007 to October 2012. As a note, all patients had no hope of delivering. Among those patients, 72 cases were able to be enrolled for the evaluation. Then, the effectiveness of MEA for the excessive menstruation was evaluated. As a result, the authors have reached the conclusion that MEA is a new effective treatment with safety and good cost performance for excessive menstruation. MEA should be considered as a standard treatment for the conservative therapy-resistant excessive menstruation.