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Patients & Methods: An open label randomized controlled trial was conducted between February 2013 and October 2014 in Benha University Hospital, Benha, Egypt. Eligible women with HMB (Aged > 40 years and < 50 years, uterine size < 12 weeks of pregnancy, leiomyoma < 3 cm, uterocervical < 12 cm) were randomly assigned (1 : 1) to undergo BER or NDVH by closed envelopes method. The primary outcome was the number of women in the BER group with HMB 6 months after surgery. Analyses were by intention to treat.

Bipolar Endometrial Resection (BER) Versus Non Descent Vaginal Hysterectomy (NDVH) For Leiomyoma Induced Heavy Menstrual Bleeding