Does endometrial resection help dysmenorrhea?

Béla G. Molnár, B G Molnár, R Baumann, R Baümann, Adam Magos, A L Magos
Acta obstetricia et gynecologica Scandinavica · 1997 · vol. 76(3) , pp. 261–265 · doi:10.1111/j.1600-0412.1997.tb07856.x · PMID:9093142 · W2132703412
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Transcervical resection of the endometrium significantly reduced menstrual and cycle-related pelvic pain for up to 12 months in women with menorrhagia.

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Abstract

BACKGROUND: Menorrhagia is a common symptom and is often associated with dysmenorrhea. METHODS: The effect of transcervical resection of the endometrium (TCRE) on dysmenorrhea associated with menorrhagia was investigated in a prospective study. Ninety consecutive women were monitored before surgery and for a period of up to 12 months after resection. The amount of pelvic pain experienced was scored daily on a scale of 0-3, and was timed in relation to menstruation. RESULTS: There was a significant decrease in the level of pain experienced during menstruation and overall during the menstrual cycle (p < 0.001), but not in the premenstruum. The effect on pain was immediate and was maintained throughout the follow-up period of the study. The presence of adenomyosis or leiomyomata in the surgical specimen did not influence the beneficial effect on pain. CONCLUSIONS: Based on these findings, dysmenorrhea during menstruation should not be a contraindication to transcervical endometrial resection in women with menorrhagia.

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Condition tags

mesh:D004412mesh:D017699adenomyosisdysmenorrhea

MeSH descriptors

Dysmenorrhea Endometrium Adult Dysmenorrhea Dysmenorrhea Dysmenorrhea Endometrium Female Humans Incidence Menorrhagia Menorrhagia Menorrhagia Menorrhagia Menstrual Cycle Menstrual Cycle Middle Aged Pelvic Pain Pelvic Pain Pelvic Pain

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