In today’s modern times there are many options to avoid removal of uterus, in cases of excessive menstrual bleeding. Some of these include TCRE and Intrauterine system (LNG device) insertion.
TCRE – Trans Cervical Resection of Endometrium (TCRE), is a minimally invasive treatment for excessive menstrual bleeding, without the need to remove the uterus. The surgery is done on a daycare basis by shaving off the endometrium (inner lining of uterus), with an electrical wire loop (resectoscope).
Hysteroscopy has some major benefits over a blind D&C. It provides visualization of the uterine cavity, provides tissue for biopsy from the most suspicious location & often provides a complete cure.
Intrauterine system (LNG device)
This is a special loop, which releases hormone in a small, fixed dose. This can be inserted inside the uterus, on an outpatient basis and provides both contraception & relief from heavy bleeding for upto five years, in about 90% of patients.