Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and Sexuality
Abnormal uterine bleeding (AUB) is a frequent symptom in perimenopausal women. It is defined as uterine bleeding in which the duration, frequency, or amount of bleeding is considered excessive and negatively affects the woman’s quality of life (QoL) and psychological well-being. In cases of structur...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-05-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/5/1176 |
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| author | Salvatore Giovanni Vitale Rafał Watrowski Fabio Barra Maurizio Nicola D’Alterio Jose Carugno Thozhukat Sathyapalan Ilker Kahramanoglu Enrique Reyes-Muñoz Li-Te Lin Bulent Urman Simone Ferrero Stefano Angioni |
| author_facet | Salvatore Giovanni Vitale Rafał Watrowski Fabio Barra Maurizio Nicola D’Alterio Jose Carugno Thozhukat Sathyapalan Ilker Kahramanoglu Enrique Reyes-Muñoz Li-Te Lin Bulent Urman Simone Ferrero Stefano Angioni |
| author_sort | Salvatore Giovanni Vitale |
| collection | DOAJ |
| description | Abnormal uterine bleeding (AUB) is a frequent symptom in perimenopausal women. It is defined as uterine bleeding in which the duration, frequency, or amount of bleeding is considered excessive and negatively affects the woman’s quality of life (QoL) and psychological well-being. In cases of structural uterine pathology, hysterectomy (usually performed via a minimally invasive approach) offers definitive symptom relief and is associated with long-lasting improvement of QoL and sexuality. However, over the past 30 years, uterus-preserving treatments have been introduced as alternatives to hysterectomy. Hysteroscopic polypectomy, myomectomy, or endometrial resection/endometrial ablation are minimally invasive techniques that can be used as an alternative to hysterectomy to treat AUB due to benign conditions. Although associated with high patient satisfaction and short-term improvement in their QoL, hysteroscopic treatments do not eliminate the risk of AUB recurrence or the need for further intervention. Therefore, considering the impact of different treatment options on QoL and sexuality during preoperative shared decision making could help identify the most appropriate and personalized treatment options for perimenopausal women suffering from AUB. |
| first_indexed | 2024-03-10T03:03:09Z |
| format | Article |
| id | doaj.art-ad25056d90c94964a0d2d5219f1190f5 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T03:03:09Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-ad25056d90c94964a0d2d5219f1190f52023-11-23T10:40:27ZengMDPI AGDiagnostics2075-44182022-05-01125117610.3390/diagnostics12051176Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and SexualitySalvatore Giovanni Vitale0Rafał Watrowski1Fabio Barra2Maurizio Nicola D’Alterio3Jose Carugno4Thozhukat Sathyapalan5Ilker Kahramanoglu6Enrique Reyes-Muñoz7Li-Te Lin8Bulent Urman9Simone Ferrero10Stefano Angioni11Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, 95124 Catania, ItalyFaculty of Medicine (Associate), University of Freiburg, 79106 Freiburg, GermanyAcademic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, University of Genova, 16132 Genoa, ItalyDivision of Gynecology and Obstetrics, Department of Surgical Sciences, University of Cagliari, 09124 Cagliari, ItalyObstetrics, Gynecology and Reproductive Sciences Department, University of Miami, Miami, FL 33146, USAAcademic Diabetes, Endocrinology and Metabolism, Hull York Medical School, University of Hull, Kingston upon Hull HU6 7RX, UKDepartment of Gynecologic Oncology, Emsey Hospital, 34912 Istanbul, TurkeyDepartment of Gynecological and Perinatal Endocrinology, Instituto Nacional de Perinatología, Mexico City 11000, MexicoDepartment of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying Dist, Kaohsiung City 81362, TaiwanCentre for Reproductive Endocrinology and Infertility, American Hospital, 34365 Istanbul, TurkeyAcademic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, University of Genova, 16132 Genoa, ItalyDivision of Gynecology and Obstetrics, Department of Surgical Sciences, University of Cagliari, 09124 Cagliari, ItalyAbnormal uterine bleeding (AUB) is a frequent symptom in perimenopausal women. It is defined as uterine bleeding in which the duration, frequency, or amount of bleeding is considered excessive and negatively affects the woman’s quality of life (QoL) and psychological well-being. In cases of structural uterine pathology, hysterectomy (usually performed via a minimally invasive approach) offers definitive symptom relief and is associated with long-lasting improvement of QoL and sexuality. However, over the past 30 years, uterus-preserving treatments have been introduced as alternatives to hysterectomy. Hysteroscopic polypectomy, myomectomy, or endometrial resection/endometrial ablation are minimally invasive techniques that can be used as an alternative to hysterectomy to treat AUB due to benign conditions. Although associated with high patient satisfaction and short-term improvement in their QoL, hysteroscopic treatments do not eliminate the risk of AUB recurrence or the need for further intervention. Therefore, considering the impact of different treatment options on QoL and sexuality during preoperative shared decision making could help identify the most appropriate and personalized treatment options for perimenopausal women suffering from AUB.https://www.mdpi.com/2075-4418/12/5/1176abnormal uterine bleedinghysteroscopyperimenopausequality of lifesexuality |
| spellingShingle | Salvatore Giovanni Vitale Rafał Watrowski Fabio Barra Maurizio Nicola D’Alterio Jose Carugno Thozhukat Sathyapalan Ilker Kahramanoglu Enrique Reyes-Muñoz Li-Te Lin Bulent Urman Simone Ferrero Stefano Angioni Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and Sexuality Diagnostics abnormal uterine bleeding hysteroscopy perimenopause quality of life sexuality |
| title | Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and Sexuality |
| title_full | Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and Sexuality |
| title_fullStr | Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and Sexuality |
| title_full_unstemmed | Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and Sexuality |
| title_short | Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and Sexuality |
| title_sort | abnormal uterine bleeding in perimenopausal women the role of hysteroscopy and its impact on quality of life and sexuality |
| topic | abnormal uterine bleeding hysteroscopy perimenopause quality of life sexuality |
| url | https://www.mdpi.com/2075-4418/12/5/1176 |
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