Conservative Surgery for Menorrhagia

1. Epidemiology of menorrhagia; 2. Diagnosing menorrhagia; 3. The role of ultrasound in investigating menorrhagia; 4. The role of hysteroscopy in investigating menorrhagia; 5. Current treatment options: an evidence based approach; 6. Classification of endometrial ablation techniques; 7. Hysteroscopic endometrial laser ablation techniques; 8. Hysteroscopic electrosurgical - resection and rollerball; 9. Cryotherapy: uterine endometrial cryoablation with ultrasound visualisation; 10. Cryotherapy: endometrial cryoablation; 11. Thermachoice I: balloon ablation; 12. Thermachoice II: balloon ablation; 13. CAVATERM thermal balloon ablation; 14. MENOTREAT balloon ablation; 15. Vesta-distensible multi-electrode balloon endometrial ablation; 16. NOVASURE endometrial ablation; 17. MEA: microwave endometrial ablation; 18. ELITT: endometrial laser intra-uterine thermal therapy; 19. Hydrothermablation (BEI); 20. The ENABL hydrothermal system for endometrial ablation; 21. Photodynamic therapy; 22. Mirena intra-uterine system; 23. Bilateral uterine artery embolisation; 24. Avoidance of complications in hysteroscopic surgery; 25. Future research and recommendations.