Study found that despite longer hospital stay and time to resumption of normal activities, more women were satisfied after hysterectomy than after endometrial ablation. There is some suggestion that Mirena is potentially cheaper and more effective than first-generation ablation techniques, with rates of satisfaction similar to second-generation techniques; there is limited evidence to suggest that hysterectomy is preferable to Mirena. Although the most cost-effective strategy, hysterectomy may not be considered an initial option owing to its invasive nature and higher risk of complications.