Surgery versus medical therapy for heavy menstrual bleeding

The Cochrane Database of Systematic Reviews
Jane MarjoribanksCindy Farquhar

Abstract

Heavy menstrual bleeding significantly impairs the quality of life of many otherwise healthy women. Perception of heavy menstrual bleeding is subjective and management usually depends upon what symptoms are acceptable to the individual. Surgical options include conservative surgery (uterine resection or ablation) and hysterectomy. Medical treatment options include oral medication and a hormone-releasing intrauterine device (LNG-IUS). To compare the effectiveness, safety and acceptability of surgery versus medical therapy for heavy menstrual bleeding. We searched the following databases from inception to January 2016: Cochrane Gynaecology and Fertility Group Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, PsycINFO and clinical trials registers (clinical trials.gov and ICTRP). We also searched the reference lists of retrieved articles. Randomised controlled trials (RCTs) comparing conservative surgery or hysterectomy versus medical therapy (oral or intrauterine) for heavy menstrual bleeding. Two review authors independently selected the studies, assessed their risk of bias and extracted the data. Our primary outcomes were menstrual bleeding, satisfaction rate and adverse events. Whe...Continue Reading

References

Jan 1, 1979·British Journal of Obstetrics and Gynaecology·T H ChimbiraF G Bolton
Feb 1, 1991·The Australian & New Zealand Journal of Obstetrics & Gynaecology·I S Fraser, G McCarron
Aug 1, 1990·British Journal of Obstetrics and Gynaecology·J M HighamR W Shaw
Jan 1, 1966·Acta Obstetricia Et Gynecologica Scandinavica·L HallbergG Rybo
May 1, 1995·British Journal of Obstetrics and Gynaecology·J T PrestonS K Smith
May 1, 1997·British Journal of Obstetrics and Gynaecology·J W Barrington, P Bowen-Simpkins
May 7, 1998·BMJ : British Medical Journal·A Prentice
Apr 7, 1999·European Journal of Obstetrics, Gynecology, and Reproductive Biology·J M Higham, R W Shaw
Mar 31, 2000·BJOG : an International Journal of Obstetrics and Gynaecology·P C ReidR Coltart
May 5, 2000·The Cochrane Database of Systematic Reviews·I CookeC Farquhar
Oct 12, 2000·BJOG : an International Journal of Obstetrics and Gynaecology·L RogersonD Dassu
Oct 18, 2000·The Cochrane Database of Systematic Reviews·A LethabyI Cooke
Dec 1, 2001·Seminars in Reproductive Medicine·T LuukkainenJ Toivonen
Oct 18, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·P InkiJ Paavonen
Apr 16, 2003·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Julian W BarringtonMohammed Abdel-Fattah
Jun 14, 2003·The Cochrane Database of Systematic Reviews·J MarjoribanksC Farquhar
Sep 6, 2003·BMJ : British Medical Journal·Julian P T HigginsDouglas G Altman
Jan 1, 1964·Scandinavian Journal of Clinical and Laboratory Investigation·L HALLBERG, L NILSSON
Mar 25, 2004·JAMA : the Journal of the American Medical Association·Miriam KuppermannUNKNOWN Ms Research Group
May 4, 2004·Obstetrics and Gynecology·Lee A LearmanUNKNOWN Medicine or Surgery Research Group
Sep 24, 2004·The Korean Journal of Parasitology·Marta Cecilia MinvielleJuan Angel Basualdo
Jun 17, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·Cynthia M FarquharAlistair W Stewart
Feb 7, 2006·American Journal of Obstetrics and Gynecology·Jonathan ShowstackUNKNOWN Ms Research Group
Feb 21, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·R A BusfieldN Johnson
Apr 14, 2006·Gan to kagaku ryoho. Cancer & chemotherapy·Shinichiro KameyamaHisataka Uchima
Apr 21, 2006·The Cochrane Database of Systematic Reviews·J MarjoribanksC Farquhar
Jul 11, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·P M BrownN P Johnson

❮ Previous
Next ❯

Citations

Feb 28, 2017·Best Practice & Research. Clinical Obstetrics & Gynaecology·Oskari Heikinheimo, Ian Fraser
Jul 19, 2017·Journal of Gynecology Obstetrics and Human Reproduction·Y Levy-ZaubermanH Fernandez
Jul 24, 2020·The Cochrane Database of Systematic Reviews·Magdalena Bofill RodriguezJames Mn Duffy

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.

Related Papers

The Cochrane Database of Systematic Reviews
Jane MarjoribanksC Farquhar
The Cochrane Database of Systematic Reviews
Jane MarjoribanksC Farquhar
The Cochrane Database of Systematic Reviews
Marlies MandersCindy Farquhar
The Cochrane Database of Systematic Reviews
Charalampos S SiristatidisSiladitya Bhattacharya
The Cochrane Database of Systematic Reviews
Anne LethabyMargaret C Rees
© 2021 Meta ULC. All rights reserved