--- title: Does endometrial resection work as well as hysterectomy for heavy periods? description: Endometrial resection was almost as satisfying as hysterectomy, with 84 out of 99 women satisfied versus 89 out of 95 with hysterectomy. However, hysterectomy url: https://niyora.com/research/papers/randomised-controlled-trial-comparing-endometrial-resection-with-abdominal-1993/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - Does endometrial resection work as well as hysterectomy for heavy periods? Randomised trial, 1993 # Does endometrial resection work as well as hysterectomy for heavy periods? Endometrial resection was almost as satisfying as hysterectomy, with 84 out of 99 women satisfied versus 89 out of 95 with hysterectomy. However, hysterectomy was better for reducing premenstrual symptoms like painful periods, bloating, and breast tenderness. Strong study design 196 women in the United Kingdom needing surgical treatment for heavy periods. ## What they did A randomized controlled trial comparing two surgical treatments for heavy menstrual bleeding. One group of 99 women had endometrial resection (removing the uterine lining), and 97 women had abdominal hysterectomy (removing the uterus). Both groups were followed for 4 months after surgery. ## What they found Patient satisfaction was slightly higher after hysterectomy (89 out of 95) than endometrial resection (84 out of 99), a difference of 9 percentage points. Women who had endometrial resection recovered faster, spent less time in hospital, and returned to work and daily activities sooner. However, premenstrual symptoms of painful periods, bloating and breast tenderness were less frequent after hysterectomy. At least 10% of women who had endometrial resection needed further treatment. ## What it means for you Endometrial resection is a less invasive option than hysterectomy with faster recovery, but hysterectomy is more effective at stopping period-related pain and bloating. The main limitation is that this study only followed women for 4 months, so we do not know how well these results last over time. 84 out of 99 Women satisfied with endometrial resection at 4 months 89 out of 95 Women satisfied with hysterectomy at 4 months 9% Difference in satisfaction between the two treatments ## About the study Original title Randomised controlled trial comparing endometrial resection with abdominal hysterectomy for the surgical treatment of menorrhagia Authors Dwyer N, Hutton J, Stirrat GM Journal British journal of obstetrics and gynaecology Year 1993 Study design Randomised trial What was tested Endometrial resection versus abdominal hysterectomy. Read the paper [doi.org/10.1111/j.1471-0528.1993.tb15237.x](https://doi.org/10.1111/j.1471-0528.1993.tb15237.x) ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Dysmenorrhea and period pain](https://niyora.com/research/topics/condition-dysmenorrhea/)[Bloating, breast tenderness and physical symptoms](https://niyora.com/research/topics/symptom-physical-symptoms/)[GnRH agonists and ovarian suppression](https://niyora.com/research/topics/treatment-gnrh/)[Surgical menopause](https://niyora.com/research/topics/treatment-surgery/) Research tells you what helps on average. Niyora helps on the day it hits. Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor. ## Related studies Survey study, 1999 How common are menstrual problems in teenage girls and do they relate to early puberty? Cohort study, 1993 Does rollerball endometrial ablation work for very heavy periods? Survey study, 2023 Is the uterine fibroid symptom survey a reliable tool for measuring treatment outcomes? Case report, 2012 How can doctors tell the difference between severe PMS and bipolar disorder? Cohort study, 2006 How should severe period pain in teenagers be treated? Randomised trial, 2024 Does estetrol/drospirenone birth control improve PMS symptoms? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗