Surgical treatment includes endometrial ablation of the first and second-generation, and hysterectomy.

Patient(s): Women with heavy menstrual bleeding scheduled for an office endometrial ablation.

Background: To compare outcomes of endometrial ablation with monopolar versus bipolar resection on uterine bleeding and psychophysical wellbeing.

The analysis of Short Form-36 showed an improvement of all assessed items after the endometrial ablation without significant difference.

Conclusion: The efficacy and safety of endometrial ablation are comparable in women with or without a history of cesarean delivery.