Hysterectomy is usually a major surgery

At present, women suffering from heavy periods are often advised to undergo womb removal.

But the National Institute for Clinical Excellence says two less invasive treatments could make that unnecessary in many cases.

Both involve removal of the uterus lining, one by microwaves, the other by using a heated balloon.

Women can choose from a wider range of alternative treatments. Andrew Dillon

NICE has decided that both microwave endometrial ablation and fluid-filled thermal endometrial ablation were clinically and cost effective.

It has recommended both for use in the NHS in England and Wales.

Women suffering from heavy periods, known as menorrhagia, can currently be offered hormone treatment, which is often ineffective, or another procedure where the lining of the womb is removed using a wire loop, which can cause complications.

Traumatic

Many end up being given a hysterectomy to treat the problem - but this is major surgery requiring a recovery period of up to two months, and can be psychologically traumatic.

Endometrial ablation can let women return to their normal day-to-day activities almost immediately.

It has been estimated that it could save the NHS up to £30m a year and leave more hospital beds free for others.

NICE chief executive Andrew Dillon said: "Today's guidance means that where surgery is a clinically appropriate way of managing heavy menstrual bleeding, women can choose from a wider range of alternative treatments."

Pat Thompson, health information manager at Women's Health, said it was important that women with heavy periods were offered as wide a choice of treatment as possible.

"Menorrhagia is estimated to affect 1.5 million women in England and Wales and the guidance will be welcomed by patients who should now have the option to benefit from the new treatments where clinically appropriate."