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Does endometrial resection help dysmenorrhea?
B G Molnár1, R Baumann, A L Magos
1University Department of Obstetrics and Gynaecology, Royal Free Hospital, London, UK.
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.