Administration of medroxyprogesterone acetate after endomyometrial resection
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Endometrial resection for menorrhagia reduced menstrual flow in all 70 patients, with 50% achieving amenorrhea, and only two requiring hysterectomy postoperatively.
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Abstract
Study objectiveTo assess the efficacy of endometrial resection for treatment of menorrhagia in women to whom no preoperative agent was given to prepare the endometrium.DesignRetrospective analysis of patients' records for all endometrial resections in which medroxyprogesterone acetate was used postoperatively.SettingHospital day surgery unit.PatientsSeventy patients with menorrhagia.InterventionsThe women underwent transvaginal sonography, followed by hysteroscopy and endometrial biopsy. The endometrium was removed using the 27F resectoscope followed by coagulation with the rollerball. Medroxy-progesterone acetate was prescribed for 2 months after surgery.Measurements and main resultsAll women achieved a reduction in menstrual flow and 50% reported amenorrhea after endometrial resection. In only two was hysterectomy necessary due to recurrence of menorrhagia.ConclusionPreoperative endometrial preparation was unnecessary when endometrial resection was carried out for treatment of menorrhagia. However, the patients received medroxyprogesterone acetate postoperatively.
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- HYSTEROSCOPIC ENDOMETRIAL ABLATION 1995
- Mechanical preparation of the endometrium prior to endometrial ablation. 1992
Cited by (2)
- Does Adjuvant Long-Acting Gestagen Therapy Improve the Outcome of Hysteroscopic Endometrial Resection in Women of Low-Resource Settings With Heavy Menstrual Bleeding? 2013
- Hysteroscopic endometrial destruction, optimum method for preoperative endometrial preparation: a prospective, randomized, multicenter evaluation. 2002
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Cited by (2)
- Does Adjuvant Long-Acting Gestagen Therapy Improve the Outcome of Hysteroscopic Endometrial Resection in Women of Low-Resource Settings With Heavy Menstrual Bleeding? 2013
- Hysteroscopic endometrial destruction, optimum method for preoperative endometrial preparation: a prospective, randomized, multicenter evaluation. 2002
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