Surgery versus medical therapy for heavy menstrual bleeding

The Cochrane Database of Systematic Reviews
J MarjoribanksC Farquhar

Abstract

Heavy menstrual bleeding (HMB) significantly impairs the quality of life of many otherwise healthy women. Perception of HMB is subjective and management usually depends upon what symptoms are acceptable to the individual. Medical treatment options include oral medication and a hormone-releasing intrauterine system (LNG-IUS). Surgical options include conservative surgery (uterine resection or ablation) and hysterectomy. To compare the effectiveness, safety and acceptability of surgery versus medical therapy for HMB. In September 2005 we searched the Cochrane Menstrual Disorders and Subfertility Group trials register Cochrane Controlled Trials Register (The Cochrane Library Issue 3, 2005), MEDLINE EMBASE, Current Contents, Biological Abstracts, PsycINFO, and CINAHL. We also searched reference lists of articles retrieved and contacted pharmaceutical companies and experts in the field. Controlled randomised trials comparing conservative surgery or hysterectomy versus medical therapy (oral or intrauterine) for HMB DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed trials for quality and extracted data . The eight included trials randomised 821 women. In comparisons of oral medication versus surgery, 58% of women rand...Continue Reading

Citations

Sep 23, 2010·Obstetrics and Gynecology·Sallie S OliphantJerry L Lowder
Jan 1, 2008·Patient Preference and Adherence·Chandra Kailasam, David Cahill
Aug 24, 2010·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Iñaki LeteRoberto Arina
Mar 6, 2007·Human Reproduction Update·UNKNOWN ESHRE Capri Workshop GroupP G Crosignani
Aug 31, 2013·The Cochrane Database of Systematic Reviews·Anne LethabyJane Marjoribanks
Jan 25, 2018·Nature Communications·Jacqueline A MaybinHilary O D Critchley
Jan 23, 2019·The Cochrane Database of Systematic Reviews·Magdalena Bofill RodriguezCindy Farquhar
Oct 3, 2012·Annals of Internal Medicine·Elisabeth J Woodhams, Melissa Gilliam
Jan 29, 2016·The Cochrane Database of Systematic Reviews·Jane MarjoribanksCindy Farquhar
Jan 29, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Paul D BlumenthalRitva Hurskainen
Dec 1, 2009·Surgical Pathology Clinics·Marcela G Del Carmen

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