Endometrial laser ablation (ELA) was evaluated in two consecutive series of 50 and 100 patients with dysfunctional bleeding without intrauterine lesions. ELA of the entire cavity was carried out in the first series with an amenorrhoea rate of 34% and a hypomenorrhoea rate of 60%. In the second series, 'partial' endometrial laser ablation (PELA) was carried out in order to provoke not a complete amenorrhoea but a reduction of heavy menstrual flow. Amenorrhoea and hypomenorrhoea rates were 1% and 93% respectively. In conclusion, endometrial laser ablation could be proposed as an alternative to hormonal therapy or hysterectomy in dysfunctional bleeding without intrauterine lesions.
Nisolle, M., Donnez, J., Grandjean, P., & Gillerot, S. (1991). Endometrial Ablation With the Nd-yag Laser in Dysfunctional Bleeding. Minimally Invasive Therapy, 1(1), 35-39. https://doi.org/10.3109/13645709109152794 (Original work published 1991)