Polikliniek voor abnormaal uterien bloedverlies

Many women aged 40-55 years suffer from abnormal uterine bleeding or heavy menstrual bleeding. Not all general practitioners and specialists, however, are aware of the developments in diagnostic and therapeutic possibilities for abnormal uterine bleeding. We present 3 patients with heavy menstrual bleeding who were treated at our one-stop clinic. In one patient, a 45-year-old woman, a small fibroid was removed with a Twizzle bipolar electrode. The second patient, a 47-year-old woman, opted for an endometrial ablation which was performed directly under local anaesthesia. The third patient, a 42-year-old woman, had an endometrial polyp removed with a duckbill snare. The clinic for diagnosis and therapy in one consult has advantages for the patient. Today, technological advances in instruments and equipment have made it possible to treat many types of intracavitary abnormalities directly in the ambulatory setting, for example, the resection of small fibroids or intrauterine polyps and use of the second-generation endometrial ablation technique.

Conflict of interest: none declared. Financial support: none declared.