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).

Your responsibility

The recommendations in this guidance represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take this guidance fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this guidance is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Commissioners and/or providers have a responsibility to provide the funding required to enable the guidance to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.