Skip to main content
. 2015 Sep 18;2015:0805.
Ref (type) Population Outcome, Interventions Results and statistical analysis Effect size Favours
Patient satisfaction

Systematic review
Premenopausal women
5 RCTs in this analysis
Proportion of women expressing overall dissatisfaction with treatment
21/382 (5%) with hysterectomy
57/454 (13%) with endometrial ablation

OR 2.46
95% CI 1.54 to 3.9
P <0.001
Moderate effect size hysterectomy

Systematic review
Women of reproductive years with heavy menstrual bleeding
4 RCTs in this analysis
Proportion very or moderately satisfied 1-year follow-up
319/406 (79%) with endometrial resection/ablation
273/333 (82%) with hysterectomy

RR 0.94
95% CI 0.88 to 1.00
P = 0.062
Not significant

Systematic review
Women of reproductive years with heavy menstrual bleeding
4 RCTs in this analysis
Proportion very or moderately satisfied 2-year follow-up
222/311 (71%) with endometrial resection/ablation
201/256 (79%) with hysterectomy

RR 0.87
95% CI 0.80 to 0.95
P = 0.0024
Small effect size hysterectomy

Systematic review
Women of reproductive years with heavy menstrual bleeding
2 RCTs in this analysis
Proportion very or moderately satisfied 4-year follow-up
84/123 (68%) with endometrial resection/ablation
93/123 (76%) with hysterectomy

RR 0.89
95% CI 0.77 to 1.03
P = 0.12
Not significant