A keyhole-surgery technique for treating heavy menstrual bleeding is more effective and just as safe as a non-invasive alternative, a study of more than 600 UK women suggests.

Those who had a laparoscopic supra-cervical hysterectomy, removing part of the uterus, were more satisfied than a group that had endometrial ablation.

And they were less likely to have pelvic pain and pain during sex.

Heavy bleeding affects a quarter of women in the UK.

Hospital stays

Prof Kevin Cooper, consultant gynaecologist and study author from the University of Aberdeen, writing in the Lancet, said the study showed laparoscopic supracervical hysterectomy offered “a more effective option than endometrial ablation, without any increased risks”.

Fifteen months after surgery, there was a similar level of complications in both groups.

And the women who had the

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