Administration of medroxyprogesterone acetate after endomyometrial resection

H Maia; Hugo Maia; Luis C. Calmon; L C Calmon; D. Marques; E M Coutinho; Elsimar Metzker Coutinho

doi:10.1016/s1074-3804(97)80009-6

Administration of medroxyprogesterone acetate after endomyometrial resection

H Maia, Hugo Maia, Luis C. Calmon, L C Calmon, D. Marques, E M Coutinho, Elsimar Metzker Coutinho

The Journal of the American Association of Gynecologic Laparoscopists · 1997 · vol. 4(2) , pp. 195–200 · doi:10.1016/s1074-3804(97)80009-6 · PMID:9057903 · W2129123265

Other OA: closed CC0 ⤵ 2 in-corpus citations

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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 OBJECTIVE: To assess the efficacy of endometrial resection for treatment of menorrhagia in women to whom no preoperative agent was given to prepare the endometrium. DESIGN: Retrospective analysis of patients' records for all endometrial resections in which medroxyprogesterone acetate was used postoperatively. SETTING: Hospital day surgery unit. PATIENTS: Seventy patients with menorrhagia. INTERVENTIONS: The 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 RESULTS: All 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. CONCLUSION: Preoperative 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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MeSH descriptors

Endometrium Medroxyprogesterone Acetate Menorrhagia Postoperative Complications Progesterone Congeners Adult Biopsy Endometrium Female Follow-Up Studies Humans Hysteroscopy Medroxyprogesterone Acetate Menorrhagia Menorrhagia Menorrhagia Middle Aged Postoperative Care Postoperative Care Postoperative Complications

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Cites (4)

Cited by (1)

Does Adjuvant Long-Acting Gestagen Therapy Improve the Outcome of Hysteroscopic Endometrial Resection in Women of Low-Resource Settings With Heavy Menstrual Bleeding? 2013

References (14)

Hormonal inhibition of the endometrium for resectoscopic endometrial ablation via openalex
Hysteroscopic endometrial ablation via openalex
Mechanical preparation of the endometrium prior to endometrial ablation via openalex
Preoperative therapy in preparation for endometrial ablation via openalex
W6717406736 via openalex
W6720661875 via openalex
doi:10.1210/jcem-67-2-334 via openalex
doi:10.1136/bmj.298.6682.1209 via openalex
doi:10.1016/0020-7292(92)90056-o via openalex
doi:10.1016/s1074-3804(05)80133-1 via openalex
doi:10.1016/s1074-3804(05)81011-4 via openalex
W2472824961 via openalex
W6603219127 via openalex
W6646498105 via openalex

Cited by (1)

Does Adjuvant Long-Acting Gestagen Therapy Improve the Outcome of Hysteroscopic Endometrial Resection in Women of Low-Resource Settings With Heavy Menstrual Bleeding? 2013

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[1] Hormonal inhibition of the endometrium for resectoscopic endometrial ablation 1991

[2] Preoperative therapy in preparation for endometrial ablation 1992

[3] Hysteroscopic endometrial ablation 1995

[4] Mechanical preparation of the endometrium prior to endometrial ablation 1992