Role of hysterectomy in abnormal uterine bleeding

Abnormal uterine bleeding is a frequent reason for consultation in the field of gynaecology of great physical, emotional, and social impact. There are several current treatment options, and management depends on the clinical scenario. The definitive treatment of abnormal uterine bleeding involves performing a hysterectomy which is not risk free. An exhaustive evaluation of the comorbidities and, whenever feasible, minimally invasive surgery should be performed. In developing countries, surgery remains the first choice for abnormal uterine bleeding treat-ment due to the lack of resources to access the new medical therapies available. Access to minimally invasive surgical techniques is also more restricted. For this reason, the big challenge is to ensure equal access to resources and improvements around the world. & COPY; 2022 Elsevier Espan & SIM;a, S.L.U. All rights reserved.