Trends in number of hysterectomies performed in England for menorrhagia: examination of health episode statistics, 1989 to 2002-3

doi:10.1136/bmj.38376.505382.AE

BMJ 2005;330:938-939 (23 April), doi:10.1136/bmj.38376.505382.AE (published 4 February 2005)

Paper

Trends in number of hysterectomies performed in England for menorrhagia: examination of health episode statistics, 1989 to 2002-3

Peter C Reid, consultant gynaecologist¹, Faizah Mukri, senior house officer¹

¹ Directorate of Obstetrics and Gynaecology, Luton and Dunstable Hospital NHS Trust, Luton LU4 0DZ

Correspondence to: P C Reid Peter.Reid@ldh-tr.anglox.nhs.uk

The first 150 words of the full text of this article appear below.

Introduction

Twenty years ago 60% of patients with menorrhagia who were referredto a gynaecologist had a hysterectomy as treatment.¹ Endometrialablation was first described in the United Kingdom in 1989 andis a viable surgical alternative to hysterectomy.² The levonorgestrelintrauterine system (Mirena, Schering Health) is highly effectivein reducing menstrual bleeding and has been shown to reducethe numbers of patients proceeding to hysterectomy.³ It wouldbe expected therefore that the numbers of hysterectomies wouldbe falling. Nearly half of women referred to secondary carewith menorrhagia, however, express a preference for hysterectomy,⁴and it should be recognised that hysterectomy remains an excellenttreatment for menstrual problems and brings high levels of patientsatisfaction. We aimed to observe trends in the number of hysterectomiesperformed for menorrhagia in England.

Methods and results

We examined NHS hospital episode statistics compiled from datasubmitted by over 300 NHS trusts in England for the years . . . [Full text of this article]

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Rapid Responses:

Read all Rapid Responses

Menorrhagia and levonorgestrel IUD dangers: Ellen C G Grant
bmj.com, 22 Apr 2005 [Full text]
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