The Safety and Efficacy of Microwave Endometrial Ablation After Endometrial Curettage Without Hormonal Pretreatment
Objective: To evaluate the safety and efficacy of a microwave endometrial ablation (MEA) procedure to treat patients with menorrhagia after endometrial curettage but without medical pretreatment. Materials and Methods: From February to September 2001, 19 eligible and consenting premenopausal women w...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2007-06-01
|
| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455907600096 |
| _version_ | 1818937006750695424 |
|---|---|
| author | Ming-Chao Huang Chih-Ping Chen Tsung-Hsien Su Kung-Liahng Wang Yuh-Cheng Yang Yuh-Ming Hwu |
| author_facet | Ming-Chao Huang Chih-Ping Chen Tsung-Hsien Su Kung-Liahng Wang Yuh-Cheng Yang Yuh-Ming Hwu |
| author_sort | Ming-Chao Huang |
| collection | DOAJ |
| description | Objective: To evaluate the safety and efficacy of a microwave endometrial ablation (MEA) procedure to treat patients with menorrhagia after endometrial curettage but without medical pretreatment.
Materials and Methods: From February to September 2001, 19 eligible and consenting premenopausal women with menorrhagia underwent endometrial curettage, immediately followed by MEA. No medical pretreatment with gonadotropin-releasing hormone (GnRH) analogues or danazol was given for endometrial preparation. The severity of menorrhagia was assessed using the menstrual score. The patients were followed up for at least 3 years.
Results: Of the 19 women, 17 had completed at least 3 years' follow-up. Fourteen patients (82%) were satisfied with the posttreatment menstrual status, comparable with those patients receiving medical pretreatment of other studies (78–94%). The mean menstrual score was 11.8 before treatment and 1.95, 2.25, 2.2, 2.1 and 2.1 at 3, 6, 12, 24 and 36 months posttreatment, respectively. Of the 12 patients who complained of dysmenorrhea before surgery, six (50%) showed improvement. Three patients had hysterectomy; they all had adenomyosis and dysmenorrhea which did not respond to medical analgesics.
Conclusion: MEA preceded by endometrial curettage instead of hormonal pretreatment had results comparable to those of other studies in which the patients received hormones for 4–6 weeks before MEA. Endometrial curettage is an alternative to drug pretreatment. |
| first_indexed | 2024-12-20T05:45:06Z |
| format | Article |
| id | doaj.art-f7a96c5c36bc48b5a10317a259cd1462 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-20T05:45:06Z |
| publishDate | 2007-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-f7a96c5c36bc48b5a10317a259cd14622022-12-21T19:51:22ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592007-06-0146215215610.1016/S1028-4559(07)60009-6The Safety and Efficacy of Microwave Endometrial Ablation After Endometrial Curettage Without Hormonal PretreatmentMing-Chao Huang0Chih-Ping Chen1Tsung-Hsien Su2Kung-Liahng Wang3Yuh-Cheng Yang4Yuh-Ming Hwu5Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanObjective: To evaluate the safety and efficacy of a microwave endometrial ablation (MEA) procedure to treat patients with menorrhagia after endometrial curettage but without medical pretreatment. Materials and Methods: From February to September 2001, 19 eligible and consenting premenopausal women with menorrhagia underwent endometrial curettage, immediately followed by MEA. No medical pretreatment with gonadotropin-releasing hormone (GnRH) analogues or danazol was given for endometrial preparation. The severity of menorrhagia was assessed using the menstrual score. The patients were followed up for at least 3 years. Results: Of the 19 women, 17 had completed at least 3 years' follow-up. Fourteen patients (82%) were satisfied with the posttreatment menstrual status, comparable with those patients receiving medical pretreatment of other studies (78–94%). The mean menstrual score was 11.8 before treatment and 1.95, 2.25, 2.2, 2.1 and 2.1 at 3, 6, 12, 24 and 36 months posttreatment, respectively. Of the 12 patients who complained of dysmenorrhea before surgery, six (50%) showed improvement. Three patients had hysterectomy; they all had adenomyosis and dysmenorrhea which did not respond to medical analgesics. Conclusion: MEA preceded by endometrial curettage instead of hormonal pretreatment had results comparable to those of other studies in which the patients received hormones for 4–6 weeks before MEA. Endometrial curettage is an alternative to drug pretreatment.http://www.sciencedirect.com/science/article/pii/S1028455907600096endometrial curettagemenorrhagiamicrowave endometrial ablationpretreatment |
| spellingShingle | Ming-Chao Huang Chih-Ping Chen Tsung-Hsien Su Kung-Liahng Wang Yuh-Cheng Yang Yuh-Ming Hwu The Safety and Efficacy of Microwave Endometrial Ablation After Endometrial Curettage Without Hormonal Pretreatment Taiwanese Journal of Obstetrics & Gynecology endometrial curettage menorrhagia microwave endometrial ablation pretreatment |
| title | The Safety and Efficacy of Microwave Endometrial Ablation After Endometrial Curettage Without Hormonal Pretreatment |
| title_full | The Safety and Efficacy of Microwave Endometrial Ablation After Endometrial Curettage Without Hormonal Pretreatment |
| title_fullStr | The Safety and Efficacy of Microwave Endometrial Ablation After Endometrial Curettage Without Hormonal Pretreatment |
| title_full_unstemmed | The Safety and Efficacy of Microwave Endometrial Ablation After Endometrial Curettage Without Hormonal Pretreatment |
| title_short | The Safety and Efficacy of Microwave Endometrial Ablation After Endometrial Curettage Without Hormonal Pretreatment |
| title_sort | safety and efficacy of microwave endometrial ablation after endometrial curettage without hormonal pretreatment |
| topic | endometrial curettage menorrhagia microwave endometrial ablation pretreatment |
| url | http://www.sciencedirect.com/science/article/pii/S1028455907600096 |
| work_keys_str_mv | AT mingchaohuang thesafetyandefficacyofmicrowaveendometrialablationafterendometrialcurettagewithouthormonalpretreatment AT chihpingchen thesafetyandefficacyofmicrowaveendometrialablationafterendometrialcurettagewithouthormonalpretreatment AT tsunghsiensu thesafetyandefficacyofmicrowaveendometrialablationafterendometrialcurettagewithouthormonalpretreatment AT kungliahngwang thesafetyandefficacyofmicrowaveendometrialablationafterendometrialcurettagewithouthormonalpretreatment AT yuhchengyang thesafetyandefficacyofmicrowaveendometrialablationafterendometrialcurettagewithouthormonalpretreatment AT yuhminghwu thesafetyandefficacyofmicrowaveendometrialablationafterendometrialcurettagewithouthormonalpretreatment AT mingchaohuang safetyandefficacyofmicrowaveendometrialablationafterendometrialcurettagewithouthormonalpretreatment AT chihpingchen safetyandefficacyofmicrowaveendometrialablationafterendometrialcurettagewithouthormonalpretreatment AT tsunghsiensu safetyandefficacyofmicrowaveendometrialablationafterendometrialcurettagewithouthormonalpretreatment AT kungliahngwang safetyandefficacyofmicrowaveendometrialablationafterendometrialcurettagewithouthormonalpretreatment AT yuhchengyang safetyandefficacyofmicrowaveendometrialablationafterendometrialcurettagewithouthormonalpretreatment AT yuhminghwu safetyandefficacyofmicrowaveendometrialablationafterendometrialcurettagewithouthormonalpretreatment |