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Surgery or IUD for Heavy Periods

treatment for heavy menstrual bleeding, since removal of the uterus brings an end to menstruation. Of the approximately 600,000 hysterectomies performed in the United States each year, about 20 percent to 30 percent are done to treat excessive uterine bleeding. However, hysterectomy isn’t an option for women who plan to have children, and its greater success in resolving heavy menstrual bleeding is also associated with greater risk.

The reviewers noted that “adverse effects of hysterectomy were relatively common and potentially life-threatening” in the two trials that included hysterectomy, and there were 39 complications among the 131 women who had a hysterectomy.

In the 1980s, conservative surgical alternatives to hysterectomy became available that remove or destroy the lining of the uterus using an electric loop, laser, hot water balloon, ultrasound or other device. These procedures have fewer risks of serious complications and can often be done on an outpatient basis.

“I think we are very lucky that we have a huge range of options,” said Duleba. “Physicians should be aware of these options and review them with patients in a stepwise fashion of degree of aggressiveness because the patient’s attitude, tolerance of risk and desire for a permanent solution are all significant fctors.”


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