The Effect of Uterine Artery Embolization on Premenstrual Symptoms in Patients with Symptomatic Fibroids or Adenomyosis

Jang D, Dongryul Jang, Kim MD, Man Deuk Kim, Shin Jae Lee, Lee SJ, Il Jung Kim, Kim IJ, Sung Il Park, Park SI, Jong Yun Won, Jong Yoon Won, Lee DY, Do Yun Lee
Journal of vascular and interventional radiology : JVIR · 2014 · vol. 25(6) , pp. 833–838.e1 · doi:10.1016/j.jvir.2014.01.036 · PMID:24657088 · W2027587691
article OA: green CC0 ⤵ 3 in-corpus citations
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This study investigated the impact of uterine artery embolization on premenstrual symptoms in patients diagnosed with symptomatic fibroids or adenomyosis.

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Abstract

PurposeTo evaluate whether uterine artery embolization (UAE) can reduce the premenstrual symptoms in women undergoing UAE for fibroid tumors or adenomyosis.Materials and methodsAmong 141 women who underwent UAE for symptomatic fibroid tumors or adenomyosis at a single institution between March 2011 and February 2013, 54 premenstrual symptoms in 39 patients were prospectively analyzed. Premenstrual symptoms were rated by the patient on a scale of 0 to 10, with 0 representing no symptom and 10 representing the baseline severity. The change in premenstrual symptom score was calculated by subtracting the baseline score from the post-UAE score. At 3-6 months after UAE, each woman also completed a symptom severity questionnaire to assess the severity of menstrual bleeding to compare the changes in premenstrual symptoms scores between women with and without menorrhagia.ResultsBack pain, headache, and gastrointestinal symptoms (eg, constipation, indigestion, lower abdominal pain) were significantly improved after UAE (P < .05). Muscle pain, fatigue, nervousness, breast tenderness, and systemic edema were also improved, but not significantly so. The mean premenstrual symptom score change in patients with menorrhagia was significantly greater than in those without menorrhagia (-6.4 vs -3.7; P = .044).There was no correlation between the degree of menorrhagia score change and the degree of premenstrual symptom score change (P = .186).ConclusionsUAE could be a method to alleviate some premenstrual symptoms in patients with uterine fibroid tumors or adenomyosis.

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adenomyosis

MeSH descriptors

Adenomyosis Leiomyoma Premenstrual Syndrome Uterine Artery Embolization Uterine Neoplasms Adenomyosis Adenomyosis Adenomyosis Adult Female Humans Leiomyoma Leiomyoma Leiomyoma Leiomyoma Middle Aged Premenstrual Syndrome Premenstrual Syndrome Premenstrual Syndrome Prospective Studies

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License: CC0 · commercial use OK