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Administration of medroxyprogesterone acetate after endomyometrial resection
H Maia1, L C Calmon, D Marques
1Endoscopy Unit, CePARH, Bahia, Brazil.
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.