NICE has recommended that fluid-filled thermal balloon endometrial ablation and microwave endometrial ablation should be options for a woman with heavy menstrual bleeding where surgery is an appropriate way to manage her bleeding.

  • The woman and her doctor should choose the type of surgical treatment after they have had a discussion that covers:
  • the results that are wanted from the treatment (such as reduced menstrual bleeding or no menstrual bleeding) 
  • the advantages and disadvantages of all other treatment options ? the specific medical circumstances of the woman (her condition, her suitability for the different surgical treatments, and her wishes).