Management of Abnormal Uterine Bleeding with Emphasis on Alternatives to Hysterectomy
| Autor: | Sherif A. El-Nashar, Megan Billow |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
endocrine system
medicine.medical_specialty Future studies media_common.quotation_subject medicine.medical_treatment Fertility Levonorgestrel Hysterectomy 03 medical and health sciences 0302 clinical medicine Quality of life Outcome Assessment Health Care Contraceptive Agents Female medicine Humans Minimally Invasive Surgical Procedures Endometrial Ablation Techniques media_common 030219 obstetrics & reproductive medicine Medical treatment Obstetrics business.industry Contraindications Anti-Inflammatory Agents Non-Steroidal Intrauterine Devices Medicated Obstetrics and Gynecology Uterine bleeding United States 030220 oncology & carcinogenesis Quality of Life Endometrial ablation Female Uterine Hemorrhage business medicine.drug |
| Zdroj: | Obstetrics and Gynecology Clinics of North America. 43:415-430 |
| ISSN: | 0889-8545 |
| DOI: | 10.1016/j.ogc.2016.04.002 |
| Popis: | Abnormal uterine bleeding (AUB) is a common problem that negatively impacts a woman's health-related quality of life and activity. Initial medical treatment includes hormonal and nonhormonal medications. If bleeding persists and no structural abnormalities are present, a repeat trial of medical therapy, a levonorgestrel intrauterine system, or an endometrial ablation can be used dependent on future fertility wishes. The levonorgestrel intrauterine system and endometrial ablation are effective, less invasive, and safe alternatives to a hysterectomy in women with AUB. A hysterectomy is the definitive treatment of AUB irrespective of the suspected cause when alternative treatments fail. Future studies should focus on detection of predictors for treatment outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|