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Case 44 - A 42-Year-Old Woman with Abnormal Uterine Bleeding Who Desires In-Office Ablation

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
University of Alabama, Birmingham
Lisa Keder
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Mayo Clinic, Rochester
Kimberly S. Gecsi
Medical College of Wisconsin
David Chelmow
Virginia Commonwealth University School of Medicine
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A 42-year-old multiparous woman with heavy menstrual bleeding desires in-office endometrial ablation. She has regular but heavy menses that lasts 10 days and occurs every 28 days. Menses are so heavy that she passes large clots and has missed work on occasions. She denies any dysmenorrhea or intermenstrual bleeding. She has had a complete evaluation and no cause of abnormal uterine bleeding was identified. She denies fatigue, shortness of breath, or lightheadedness. She has intolerable side effects with systemic contraceptives and has previously trialed tranexamic acid and a levonorgestrel intrauterine device without success. She would like to avoid hysterectomy and requests in-office endometrial ablation. She has no history of chronic pain, anxiety, or intolerance of office procedures or anesthesia. Her partner has had a vasectomy. She has no medical comorbidities and does not take any daily medications.

Surgical Gynecology
A Case-Based Approach
, pp. 134 - 136
Publisher: Cambridge University Press
Print publication year: 2021

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