Incidence of upper genital tract occlusion following microwave endometrial ablation (MEA).

The aim of the study was to determine the incidence of occlusion of the upper genital tract following microwave endometrial ablation (MEA™) in women treated for therapy-resistant menorrhagia. A total of 35 women were recruited between January 1997 and January 2005, Royal United Hospital Bath, to have interval hysterosalpingogram (HSG) post-MEA. After a successful MEA, either with general or local anaesthesia, 35 HSGs were performed 3 or more months later. Complete occlusion of the upper genital tract was found in 30 women (85.7%) and incomplete occlusion with tubal patency persisted in 5 (14.3%).