Expert & Leader of department: Prof. Andreas D. Ebert, Dr. M.D. Dr. phil. Dr. h. c.
Approximately 20 percent of all women aged between 30 and 50 suffer very strong and long lasting menstrual bleedings, the so-called menorrhagia. It lasts longer than six to eight days and is accompanied by elevated blood loss, strong menstrual cramps and often also with headaches. The high blood loss leads to iron deficiency, circulatory problems and fatigue. For affected women menorrhagia means a serious impairment of their quality of life - right up to severe depressions.
The disease is usually treated with a complete removal of the uterus (hysterectomy) – a psychologically and physically incising procedure for women, which is associated with risks such as urinary incontinence, adhesions and falling of the vagina. In the opinion of experts about half of the annual 150,000 hysterectomias in Germany could be replaced by more gentle methods such as endometrial ablation and hysteroscopic myomectomy.
While the endometrial ablation has been a routine surgery procedure in the USA and Great Britain for years, this organ preserving method is only beginning to prevail in Germany. This minimally invasive procedure only destroys and removes the endometrium which causes the bleeding. The uterus is maintained. The surgery itself is significantly less dangerous than a hysterectomia and therefore the above described subsequent risks will not arise.
Hysteroscopic myomectomia are getting important in case of benign lumps within the uterus – so-called myomas – causing the menstrual disorder. In this case the myomas are removed surgically through vagina and cervix. The uterus is also preserved with this procedure.