Endometrial ablation for dysfunctional uterine bleeding in the perimenopause, clinical results of a multicentre trial with the Cavaterm™ thermal balloon

In recent years, dysfunctional uterine bleeding (DUB) has emerged as one of the most frequently encountered gynaecological problems. Excessive menstrual bleeding adversely affects quality of life and contributes to health-care costs as it is a major indication for referral to the gynaecological outpatient clinic. It is a serious problem for many women and a major clinical problem for gynaecologists, There are numerous options for the treatment of DUE: drug therapy, hysterectomy, endometrial ablation with the ND:YAG laser, resectoscope, rollerball, and more recently other alternatives such as bipolar devices, direct hot saline instillation, microwaves, and thermal balloons.