Submucous fibroids, polyps and dysfunctional bleeding are responsible for meno-metrorrhagia in women over 40 years of age. The authors describe the technique of hysteroscopic myomectomy and endometrial ablation using the Nd-YAG laser and the advantages of the preoperative use of GnRH agonist therapy. They report their results in a series of 746 patients treated for meno-metrorrhagia (366 cases of myomectomy and 380 cases of endometrial ablation).
Smets, M., Nisolle, M., Bassil, S., & Donnez, J. (1996). Expansive benign lesions: treatment by laser. European Journal of Obstetrics & Gynecology and Reproductive Biology, 65(1), 101-105. https://doi.org/10.1016/0028-2243(95)02313-H (Original work published 1996)