Endometrial thermal balloon ablation has a beneficial long‐term effect on menorrhagia

BACKGROUND: More data on the long-term results of thermal balloon endometrial ablation are needed. METHODS: A retrospective observational study of 190 women who underwent endometrial thermal balloon ablation in the treatment of menorrhagia. The mean follow-up period was 6 years. RESULTS: Of the 172 women analysed after exclusion, 28 (16%) had a hysterectomy during follow-up. Women with regular menstrual periods had the best outcome. Some 152 (89%) women filled in a questionnaire concerning their satisfaction with the procedure, and 76% were satisfied. Amenorrhoea was reported by 14% and eumenorrhoea by 54% of the women who completed the questionnaire. CONCLUSION: Endometrial thermal balloon ablation has good long-term efficacy and can be considered an applicable alternative in the treatment of menorrhagia, especially for women who have regular periods and are over 40 years of age.