Prediction of endometrial ablation success according to perioperative findings
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This study identified perioperative predictors of successful endometrial ablation outcomes.
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Abstract
ObjectiveThe aim of this study was to determine which factors in the perioperative period influence the success of endometrial ablation in alleviating menorrhagia.Study designWe performed a retrospective chart review of 120 women aged 27 to 49 years who underwent endometrial ablation after 2 months of preoperative treatment with danazol (Danocrine, 800 mg/d orally) or leuprolide (Lupron, 3.75 mg in one intramuscular injection each month). Patients who required medical management or additional operations to control the vaginal bleeding during follow-up (median follow-up, 37 weeks) were considered to have ablation failures.ResultsSixty-three percent of patients (76/120) had a successful procedure. The chance of success was greater if a cavity of normal appearance was found (odds ratio, 2.3; P =.04). The finding of an intramural fibroid before the procedure resulted in a reduced trend toward success (odds ratio, 0.4; P =.06). The use of danazol pretreatment improved the rate of success overall (odds ratio, 2.2; P =.05) and especially among women <40 years old (P =.01)ConclusionPerioperative findings may provide useful information in counseling patients regarding endometrial ablation. Success is greater among patients with a normal intrauterine cavity and after preoperative treatment with danazol.
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Cites (4)
- An economic evaluation of transcervical endometrial resection versus abdominal hysterectomy for the treatment of menorrhagia 1993
- Depot goserelin and danazol pre-treatment before rollerball endometrial ablation for menorrhagia 1996
- Does endometrial resection help dysmenorrhea? 1997
- Resumption of menstruation after amenorrhea in women treated by endometrial ablation and myometrial resection 1997
Cited by (3)
References (9)
- An economic evaluation of transcervical endometrial resection versus abdominal hysterectomy for the treatment of menorrhagia via openalex
- Depot goserelin and danazol pre-treatment before rollerball endometrial ablation for menorrhagia via openalex
- Does endometrial resection help dysmenorrhea? via openalex
- Resumption of menstruation after amenorrhea in women treated by endometrial ablation and myometrial resection via openalex
- doi:10.1016/0029-7844(94)00326-9 via openalex
- doi:10.1016/s0020-7292(98)00137-4 via openalex
- doi:10.5694/j.1326-5377.1993.tb137573.x via openalex
- doi:10.1016/0029-7844(96)00150-0 via openalex
- doi:10.1016/s1074-3804(05)80114-8 via openalex
Cited by (3)
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- last seen: 2026-05-11T06:00:05.006021+00:00
License: CC0
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