Abstract Uterine fibroids or leiomyomas are solid, invariably benign tumours of uterine smooth muscle and connective tissue. The prevalence varies according to the population studied, but is estimated to be…
Abstract Endometrial ablation (EA) is a minimally invasive surgical intervention that aims to reduce heavy menstrual bleeding (HMB) by destroying functionally active endometrial glands within the endometrium and the superficial…
Abstract Endometrial polyps are localised overgrowths of endometrial tissue that can occur anywhere in the uterine cavity. They contain variable amounts of glands, stroma and blood vessels that are covered…
Abstract Surgical procedures using electrosurgery can be undertaken within the uterine cavity to address excessive menstrual blood loss and to enhance fertility. The insertion of specialised electrodes down hysteroscopic instruments…
Abstract Hysteroscopy is safe and effective and can greatly reduce morbidity and enhance recovery compared with conventional open procedures. Furthermore, it can minimise the inherent risks of general anaesthesia and…
Abstract Improved hysteroscopic technology has enabled clinicians not only to perform diagnostic outpatient hysteroscopy but also to treat uterine lesions. Bipolar diathermy electrodes have reduced the risk of fluid overload,…
Abstract Hysteroscopy can be used to diagnose endometrial and structural cavity pathologies associated with abnormal uterine bleeding (AUB) and reproductive failure. Optimal interpretation of hysteroscopic findings requires an understanding of…
Abstract This chapter covers the process of performing hysteroscopy, paying close attention to optimising patient comfort and maximising the effectiveness of the procedure. Tips are provided for successfully inserting the…
Abstract Pain is subjective. The level of pain a person experiences is affected not only by the painful stimulus but also by the person’s psychological interpretation of the pain and…
Abstract The first part of this chapter has been written with the patient’s journey in mind: from the time of presentation to the general practitioner (GP) with a problem such…
