Background: The management of acute, recalcitrant uterine hemorrhage has traditionally included gynecologic dilation and curettage, uterine balloon tamponade or emergent hysterectomy. These options were considered after failed medical therapy (intravenous estrogen, oral contraceptives or intramuscular progestins). The advent of global endometrial ablation devices now allow for an in-office treatment modality for these patients.
Cases: Two cases of thermal balloon ablation to treat recalcitrant uterine bleeding are reported from an inner city obstetrics and gynecology practice. No further vaginal bleeding was noted up to eight weeks posttherapy, with an increase in hemoglobin in each patient. Each patient avoided emergent hysterectomy and/or blood transfusion.
Conclusion: Office-based Thermachoice III ablation provides an alternative to traditional management of the acutely bleeding patient without the need for hospital admission.
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