Transcervical resection of the endometrium was effective and acceptable at up to 2 years for heavy menstrual bleeding

(1999) Br J Obstet Gynaecol 106, 258. Cooper KG, Parkin DE, Garratt AM, et al. . Two-year follow up of women randomised to medical management or transcervical resection of the endometrium for heavy menstrual loss: clinical and quality of life outcomes. . Mar; . : . –65 . [OpenUrl][1][PubMed][2][Web of Science][3] QUESTION: In women with heavy menstrual bleeding, is transcervical resection of the endometrium (TCRE) better than medical management for relieving menstrual symptoms in the long term? Randomised (concealed*)†, unblinded,* controlled trial with 2-year follow-up. Gynaecology department of a large hospital in Scotland. 187 women who consulted a gynaecologist for the first time for heavy menstrual bleeding, were not going to have more children, had a clinical diagnosis of dysfunctional uterine bleeding, had not been referred for surgery, and did not have a treatment preference. Follow-up was 93% (mean age 42 y). Women were allocated to TCRE (n=93) or medical management (n=94). Medical management consisted of progestogens, combined oral contraceptive pill, tranexamic acid, danazol, or hormone replacement therapy and non-steroidal anti-inflammatory … [1]: {openurl}?query=rft.jtitle%253DBritish%2Bjournal%2Bof%2Bobstetrics%2Band%2Bgynaecology%26rft.stitle%253DBr%2BJ%2BObstet%2BGynaecol%26rft.aulast%253DCooper%26rft.auinit1%253DK.%2BG.%26rft.volume%253D106%26rft.issue%253D3%26rft.spage%253D258%26rft.epage%253D265%26rft.atitle%253DTwo-year%2Bfollow%2Bup%2Bof%2Bwomen%2Brandomised%2Bto%2Bmedical%2Bmanagement%2Bor%2Btranscervical%2Bresection%2Bof%2Bthe%2Bendometrium%2Bfor%2Bheavy%2Bmenstrual%2Bloss%253A%2Bclinical%2Band%2Bquality%2Bof%2Blife%2Boutcomes.%26rft_id%253Dinfo%253Apmid%252F10426646%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10426646&link_type=MED&atom=%2Febmed%2F5%2F1%2F24.atom [3]: /lookup/external-ref?access_num=000079405300014&link_type=ISI