Modern Management of Abnormal Uterine Bleeding

Peter O'Donovan, Charles Miller

• SECTION I - BACKGROUND 1. Menstruation: Historical perspective 2. Physiology of menstruation 3. Terminologies and definitions around abnormal uterine bleeding 4. Epidemiology of abnormal uterine bleeding 5. Practical assessment and measurement of abnormal uterine bleeding 6. Pathogenesis of abnormal uterine bleeding 7. Menstrual problems in adolescence 8. Mentrual dysfunction secondary to medical disease SECTION II – DIAGNOSIS 9. The role of ultrasound in investigating abnormal uterine bleeding 10. The role of hysteroscopy in investigating abnormal uterine bleeding SECTION III- TREATMENT 11. Medical management of abnormal uterine bleeding 12. The levonorgestrel intrauterine system 13. Current surgical treatment options: An evidence-based approach 14. Contemporary energy modalities during operative laparoscopy 15. Hysteroscopic rollerball endometrial ablation 16. Hysteroscopic electrosurgical resection 17. Hysteroscopic laser ablation technique 18. ThermachoiceTM balloon endometrial ablation 19. CavatermTM thermal balloon ablation 20. ThermablateTM EAS Balloon endometrial ablation 21. Microwave endometrial ablation (MEATM) 22. NovaSureTM endometrial ablation 23. Hydrothermablation 24. Endometrial cryoablation 25. Vesta: Distensible multi-electro balloon endometrial ablation 26. Randomised controlled trials in second generation endometrial ablation 27.Photodynamic therapy 28. Hysteroscopic morcellation 29. Uterine artery embolization - The Evidence 30. Avoiding and managing laparoscopic complications in gynecologic surgery 31. Laparoscopic myomectomy 32. Hysterectomy myomectomy: Indications, technique, outcome and complications 33. Laparoscopic uterine artery occlusion 34. Temporary occlusion of uterine artery for the treatment of fibroids 35. Hysterectomy rate variations 36. Total abdominal hysterectomy 37. Vaginal hysterectomy 38. Laparoscopic hysterectomy – Historical perspective 39. Total laparoscopic hysterectomy 40. Laparoscopic supracervical hysterectomy 41. Laparoscopic-assisted vaginal hysterectomy and abnormal uterine bleeding 42. Laparoscopic hysterectomy for the large uterus 43. Robotics: An evolving option in the management of abnormal uterine bleeding 44. Complications and clinical outcomes of hysterectomy 45. Comparison of hysterectomy techniques and cost-benefit analysis 46. Analysis of sexual activity after hysterectomy 47. Non-invasive surgery using MR-guided focused ultrasounnd 48. Future research in abnormal uterine bleeding