The Use of Levonorgestrel-Releasing System (Metraplant-E) in the Treatment of Abnormal Uterine Bleeding
| Autor: | Mohamed Ezz El-Din Aly Azzam, Alshaimaa Aa Mahmoud, Alaa Rashid, Laila Aly Farid, Reem Abdelazeem Hussein, Magd El Din M. Mohamed |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Hysterectomy medicine.diagnostic_test Medical treatment business.industry Obstetrics medicine.medical_treatment Dysfunctional uterine bleeding Uterine bleeding Dysfunctional family medicine.disease Menopause Hysteroscopy medicine Levonorgestrel medicine.symptom business medicine.drug |
| Zdroj: | The Egyptian Journal of Hospital Medicine. 72:3979-3985 |
| ISSN: | 2090-7125 |
| DOI: | 10.21608/ejhm.2018.9082 |
| Popis: | Background: Dysfunctional uterine bleeding (DUB) is one of the commonest condition for which patient seeks out medical consultation. The prevalence increases with the increase of age peaking before menopause. Objectives: The aim of this work is to evaluate the effect of this new form of levonorgestrel-releasing IUD on the treatment of patients with abnormal uterine bleeding. Patients and Methods: A prospective age-specific comparative analysis of 61 peri-menopausal women presented with dysfunctional uterine bleeding who constituted the study group. They underwent hysteroscopy and endometrial sampling during an 18 months period from June 2014 to January 2016 at Ain Shams University Materity Hospital. Prior to metraplant-E application, all the patients in this study were in the age of 25-58 years old. Results: The role of Metraplant-E in the treatment of abnormal uterine bleeding (AUB) was evaluated. Sixty- one women with failed attempt(s) of medical treatment unwilling or unfit for hysterectomy were treated with Metaplant-E. Menstrual blood loss was assessed by pictoral bleeding assessment chart (PBAC), bleeding index (B.I) and total bleeding score (T.B.S/month). The bleeding patterns in the form of the mean menstrual blood loss estimated by bleeding index and the mean menstrual loss estimated by the total bleeding score/month and PBAC decreased significantly (p = 0.001). The quality of life scale (Likert scale) improved significantly (p = 0.001). All 15 cases who had endometrial sampling demonstrated progestational effect on histo-pathological examination. Conclusion: Metraplant-E was found to be effective in managing dysfunctional menorrhagia on both clinical and histopathological levels. |
| Databáze: | OpenAIRE |
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