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- Title
Endometrial Cryoablation for the Treatment of Heavy Menstrual Bleeding: 36-Month Outcomes from the CLARITY Study.
- Authors
Curlin, Howard L; Anderson, Ted L
- Abstract
The study demonstrated that women less than 40 years of age have a higher risk of hysterectomy after endometrial ablation and that the hysterectomy risk is highest during the first 3 years of endometrial ablation, but the rate continues to increase through 8 years of follow-up.[27] An additional retrospective cohort study of 1169 women, mean age of 41.1, who underwent either a rollerball endometrial ablation or NREA procedure found that subsequent hysterectomy was significantly associated with the type of ablation. Ten subjects elected hysterectomy despite decrease in post-ablation menstrual bleeding documented at the Month 12 follow-up visit; six of these subjects met the PBLAC endpoint for treatment success. Discussion This prospective, 3-year follow-up study demonstrated sustained safety and effectiveness of treatment with the Cerene Device, a novel cryoablation device for the treatment of HMB. Keywords: ablation; endometrial; menorrhagia; cryotherapy EN ablation endometrial menorrhagia cryotherapy 1083 1092 10 10/06/22 20220801 NES 220801 Introduction Heavy menstrual bleeding (HMB) affects more than 10 million (or 1 in 5) women annually in the USA.[1] International studies report similar incidence rates, affecting 25% to 30% of the women.[2],[3] The incidence is variable because not all women seek care for their menstrual symptoms, while others may not be aware of when to seek professional advice or the types of treatments available.[3],[4] Impaired quality of life (QoL) of women affected by HMB significantly impacts health care utilization, which in turn places an economic burden on the healthcare system.[5],[6] Hysterectomy and endometrial ablation are two different surgical options for menstrual bleeding, although hysterectomy is generally recommended after other therapies have failed.
- Subjects
MENORRHAGIA; HYSTEROSCOPY; TUBAL sterilization; CRYOSURGERY; ENDOMETRIAL ablation techniques; CESAREAN section; MEDICAL offices; ABLATION techniques
- Publication
International Journal of Women's Health, 2022, Vol 14, p1083
- ISSN
1179-1411
- Publication type
Article
- DOI
10.2147/IJWH.S371044