Alternatives to Hysterectomy for Menorrhagia

Menorrhagia (also termed hypermenorrhea) is a common problem among women of reproductive age. One quarter of middle-aged British women studied in household surveys reported heavy menstrual bleeding that has interfered with their lives. 1 Menorrhagia is the presenting symptom for the majority of women who undergo hysterectomy, which remains the most common nonobstetrical major surgical procedure in the United States. Pressure from patients for less radical methods of treatment and from insurers to reduce costs has focused attention on alternatives to hysterectomy. Menorrhagia may be caused by uterine fibroids, polyps, or other anatomical or systemic disorders, but it is theorized to . . .