Background: Ablation of the endometrial lining of the uterus as an alternative to hysterectomy was found to be a less invasive and aggressive method. A large number of clinical trials, as well as retrospective analysis of clinical and financial data, has shown that endometrial ablation allows for a lower morbidity and mortality rate and significantly lower procedure costs. Worldwide, endometrial ablation is increasingly being adopted by the gynecological community. Aim of the Work: to study the effect of bipolar radiofrequency ablation system on endometrial thickness and bleeding in patients with premenopausal bleeding. Patients and Methods: This study was conducted on: 30 women with premenopausal bleeding not responding to medical treatment. All subjects enrolled in the study were asked to give an informed written consent after explaining the nature, steps and aim of the study. The approval of Medical Ethics Committee was obtained. Results: the net results after treatment, the majority of the patients was improved (83.3%), 19 of them was complete recovery (63.3%) while 6 cases (20.0%) had minor bleeding, 4 cases (13.3%) had bleeding less before treatment, while only one case had no change.Conclusion: Bipolar radiofrequency ablation performed under local anaesthetic in the postmenstrual phase is an effective and efficient method of treating the majority of women who wish conservative surgical treatment for heavy menstrual loss.