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Related Concept Videos

Hormonal Regulation of the Menstrual Cycle01:22

Hormonal Regulation of the Menstrual Cycle

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The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
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Related Experiment Video

Updated: May 5, 2026

Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
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[Does repeated endometrial destruction procedure decrease abnormal uterine bleeding, and does it reduce the number of

Y Levy-Zauberman1, H Fernandez2, A-G Pourcelot1

  • 1Service de gynécologie-obstétrique, hôpital de Bicêtre, Assistance publique-Hôpitaux de Paris, , 94276 Le Kremlin-Bicêtre cedex, France.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|November 30, 2013
PubMed
Summary
This summary is machine-generated.

A second endometrial destruction procedure effectively manages recurrent abnormal uterine bleeding (AUB), potentially avoiding hysterectomy in 50% of cases. This conservative approach offers a valuable alternative for suitable patients.

Keywords:
Abnormal uterine bleedingDestruction endométrialeEndometrectomyEndometrial destructionEndométrectomieHysterectomyHysteroscopyHystérectomieHystéroscopieMénométrorragie

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Area of Science:

  • Gynecology
  • Minimally Invasive Surgery

Context:

  • Abnormal uterine bleeding (AUB) and post-menopausal bleeding are common gynecological issues.
  • Hysteroscopic endometrial destruction offers a less invasive alternative to hysterectomy.
  • The efficacy of repeating endometrial destruction procedures for recurrent bleeding has not been well-established.

Purpose:

  • To evaluate the effectiveness and patient satisfaction following a second hysteroscopic endometrial destruction procedure for recurrent AUB or post-menopausal bleeding.

Summary:

  • Nineteen patients with recurrent bleeding after initial endometrial destruction underwent a second conservative procedure.
  • No complications occurred during the repeat procedure.
  • 50% of patients avoided hysterectomy after the second procedure, with 31.25% of all patients experiencing treatment failure.

Impact:

  • A second conservative endometrial procedure is effective in managing recurrent AUB, potentially preventing hysterectomy in half of the cases.
  • This approach is suitable for patients with medical contraindications for major surgery or those desiring uterine preservation.
  • High patient satisfaction (68.75%) and recommendation rates (93.75%) suggest positive outcomes.