Menorrhagia is a common complaint in women of post childbearing age. It is quite distressing and inabilating especially in modern times, as many women are workingwoman apart from being housewives.

Menorrhagia causes distress. Additionally it debilitates by giving rise to Anemia and other satellite effects associated with it. Detailed investigations revealed that 40% of patients have hormonal imbalance but uterus and other organs are otherwise normal i. e. no evidence of malignancies is found.

In properly screened and select cases thermoablation of endometrium is the most preferred treatment. It is a simple procedure carried out under SA or GA in a day - care system.

The newly designed Thermoablator machine uses a catheter with balloon to be introduced through cervix. Plain Water at temperature between 75 C and 92 C is circulated at uterine pressure of 200 mm Hg.

Depending on set temperature value, the ablation time will vary. Lower the temperature more will be the time required. At mean Temperature of 87 C it takes 12 to 15 minutes, while at 92 C, 7 to 8 minutes approximately will yield the desired results. This ensures Complete Burning of up to 7 mm thick endometrium. No Curettage or preoperative medication is required- (As in Other systems, thereby increasing medical expenses burden on patient)

This procedure has a distinct advantage. It is inherently safer. Also the heating medium is not directly in contact with endometrium. This results in better procedure management. It also reduces cleaning needs after the procedure compared to direct contact method employed in other methods.

Balloon, when distended, contacts all surface area and is capable of covering over 98% of the corners and contours of the uterine cavity. As a result, unablated surface patches are nearly eliminated even at the cornual ends.

Endoscopic Surgeons in the United Kingdom have used pressures of 30 to 50 mm of Hg for ablation in direct method without balloon and have obtained good results. However this method has several disadvantages compared to our system.

Majority of women report hypomenorrhoea or total amenorrhoea after just one seating with thermoablation. Even if total amenorrhoea is not achieved satisfaction rates are good.

It should be clearly understood and highlighted that thermal ablation is not an option for hystrectomy but the indication in itself. As previously untreatable menorrhogeis had perforce to be treated with surgical extirpation of uterus. Hence in absence of uterine pathology thermal ablation is the treatment of choice.