Endometrial ablation by trichloroacetic acid in abnormal uterine bleeding: A prospective interventional study

Abstract

To evaluate the effectiveness of 50% Tricolored acetic acid (TCA) instillation in uterine cavity for the treatment of Abnormal uterine bleeding (AUB). In this study, 40 patients with the complaints of Abnormal menstrual bleeding, without any organic cause after ruling out malignancy were taken into consideration. After individually calculating the volume of TCA, it was instilled into the uterine cavity for chemically ablation of the endometrium. After a follow-up of 3 months, out of 40 patients, 53% reported hypo menorrhea and 27% reported amenorrhoea in contrast to 20% patients who had persistent symptoms. The study suggested that endometrial ablation with TCA is simple, cost effective, does not require longer hospital stay,can be done as an OPD procedure,do not require any sophisticated instrumentation and can be easily performed at primary health care centres after proper evaluation. However, to be used on regular basis, this method requires more randomised controlled trials.