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Lu Shun-qiong - One of the best experts on this subject based on the ideXlab platform.

  • Clinical Effect of Estrogen Combine with Progesterone in Treatment of Puberty Dysfunctional Uterine Bleeding
    Journal of Tropical Medicine, 2005
    Co-Authors: Lu Shun-qiong
    Abstract:

    Objective To explore the best method to control Bleeding for puberty Dysfunctional Uterine Bleeding. Method 46 cases of patients with pube rty Dysfunctional Uterine Bleeding were randomly divide into 2 groups. In group A (n=30), the patients were treated with low-dose estrogen combined with progest erone. In group B (n=16), the patients were treated only with estrogen. The cond ition of Dysfunctional Uterine Bleeding, blood routine, function of liver and ki dney, endometrial thickness and pelvic were observed before drugs administration . Result The patients were treated successfully in group A and 1 case failed i n group B. The time of control Bleeding and completely stop Bleeding in group A was better than that in group B (P0.05). Conclusion Estrogen combined with pro gesterone in treating puberty Dysfunctional Uterine Bleeding is better than estr ogen alone.

Abraham Golan - One of the best experts on this subject based on the ideXlab platform.

  • Endometrial carcinoma after endometrial resection for Dysfunctional Uterine Bleeding.
    Obstetrics and gynecology, 2005
    Co-Authors: Ron Sagiv, Erez Ben-shem, Alexander Condrea, Marek Glezerman, Abraham Golan
    Abstract:

    Endometrial destruction is an accepted conservative surgical approach for women with Dysfunctional Uterine Bleeding. However, this procedure cannot guarantee complete removal of the entire endometrium. The possibility exists that endometrial carcinoma may develop even years after such procedure. We report on a case of endometrial carcinoma, which was diagnosed 3 years after hysteroscopic resection of the endometrium for Dysfunctional Uterine Bleeding in a patient with no risk factors. Endometrial carcinoma after hysteroscopic endometrial ablation is still a possibility even when strict selection criteria are applied.

  • Endometrial carcinoma after endometrial resection for Dysfunctional Uterine Bleeding.
    Obstetrics & Gynecology, 2005
    Co-Authors: Ron Sagiv, Erez Ben-shem, Alexander Condrea, Marek Glezerman, Abraham Golan
    Abstract:

    BACKGROUND: Endometrial destruction is an accepted conservative surgical approach for women with Dysfunctional Uterine Bleeding. However, this procedure cannot guarantee complete removal of the entire endometrium. The possibility exists that endometrial carcinoma may develop even years after such procedure. CASE: We report on a case of endometrial carcinoma, which was diagnosed 3 years after hysteroscopic resection of the endometrium for Dysfunctional Uterine Bleeding in a patient with no risk factors. CONCLUSION: Endometrial carcinoma after hysteroscopic endometrial ablation is still a possibility even when strict selection criteria are applied.

Seyyedeh Neda Kazemi - One of the best experts on this subject based on the ideXlab platform.

  • thermal balloon ablation for Dysfunctional Uterine Bleeding among iranian patients
    Journal of Research in Medical and Dental Science, 2016
    Co-Authors: Tahereh Ashrafganjoei, Zinatossadat Bouzari, Farah Farzaneh, Mehdi Yaseri, Seyyedeh Neda Kazemi
    Abstract:

    Objective: Dysfunctional Uterine Bleeding is a common gynecological condition which affects about 20-30% of premenopausal women. When medical treatments fail to provide adequate relief, surgical interventions, including hysterectomy or destruction of the endometrium, might be considered. The aim of the present study was to determine the menstrual outcomes and the satisfaction level, after thermal balloon endometrial ablation to treat this condition among Iranian patients. Design classification: A single-arm prospective study. Setting: University teaching hospital. patients:52 patients with Dysfunctional Uterine Bleeding. Intervention: Patients underwent endometrial ablation using Cavaterm plus and were fallowed up for 12 months, Post operatively. Measurements: The pictorial blood loss assessment chart score of menstrual cycle, number of days in the cycle, degree of dysmenorrhea, satisfaction from treatment and any complication of treatment were assessed. Main results: Eighty-eight percent of patients responded to treatment; the mean number of days of Bleeding per month decreased from a mean of 13.6 to 4days (p<0.001) and the mean amount of Bleeding decreased from 535.4 to 38.6 in pictorial blood loss assessment chart (p<0/001). Also 45% of patients became amenorrheic after one year fallow up and 88% were satisfied with their treatment. Conclusions: Thermal balloon endometrial ablation among our patients showed a similar outcome to previous reported studies. It seems that this method represents an excellent alternative to hysterectomy, with high rate of success, a very low complications rate and high patients satisfaction. Keywords: Dysfunctional Uterine Bleeding, endometrial ablation, thermal balloon, pictorial blood loss, Iran.

  • Thermal Balloon Ablation for Dysfunctional Uterine Bleeding among Iranian Patients
    Amber Publication, 2016
    Co-Authors: Tahereh Ashrafganjoei, Zinatossadat Bouzari, Farah Farzaneh, Mehdi Yaseri, Seyyedeh Neda Kazemi
    Abstract:

    Objective: Dysfunctional Uterine Bleeding is a common gynecological condition which affects about 20-30% of premenopausal women. When medical treatments fail to provide adequate relief, surgical interventions, including hysterectomy or destruction of the endometrium, might be considered. The aim of the present study was to determine the menstrual outcomes and the satisfaction level, after thermal balloon endometrial ablation to treat this condition among Iranian patients. Design classification: A single-arm prospective study. Setting: University teaching hospital. Patients:52 patients with Dysfunctional Uterine Bleeding. Intervention: Patients underwent endometrial ablation using Cavaterm plus and were fallowed up for 12 months, Post operatively. Measurements: The pictorial blood loss assessment chart score of menstrual cycle, number of days in the cycle, degree of dysmenorrhea, satisfaction from treatment and any complication of treatment were assessed. Main results: Eighty-eight percent of patients responded to treatment; the mean number of days of Bleeding per month decreased from a mean of 13.6 to 4days (p

Hans A.m. Brölmann - One of the best experts on this subject based on the ideXlab platform.

  • Current treatment of Dysfunctional Uterine Bleeding.
    Maturitas, 2004
    Co-Authors: Marlies Y. Bongers, Ben Willem J. Mol, Hans A.m. Brölmann
    Abstract:

    Objectives: We performed a review of the treatment modalities for Dysfunctional Uterine Bleeding. Methods: Dysfunctional Uterine Bleeding can be treated medically or surgically. Medical treatment consists of anti-fibrinolytic tranexamic acid, non-steroidal anti-inflammatory drugs, the combined contraception pill, progestogen, danazol, or analogues of gonadotrophin releasing hormone. The levonorgestrel releasing intra Uterine device is developed for contraception, but is also effective in the treatment of Dysfunctional Uterine Bleeding. Surgical treatment includes endometrial ablation of the first and second-generation, and hysterectomy. This review contains current available evidence on the effectiveness of these therapies. Results: Antifibrinolytic tranexamic acid is the most effective medical therapy to treat Dysfunctional Uterine Bleeding. In general medical therapy is not as effective as endometrial resection in terms of patient satisfaction and health related quality of life. The levonorgestrel releasing intra Uterine device is an effective treatment for Dysfunctional Uterine Bleeding. No difference in quality of life was observed in patients treated with a levonorgestrel releasing intra Uterine device as compared to hysterectomy. Ablation techniques of the first generation are effective and safe when used by trained surgeons, but have a learning curve. Ablation techniques of the second generation are effective, but long-term follow-up data are not available. Similarly, there are no large randomised controlled trials comparing the levonorgestrel releasing intra Uterine device to first and second-generation ablation techniques. Hysterectomy, the traditional standard of care, has a relatively high complication rate, but it generates a high satisfaction rate and good health related quality of life scores. Conclusion: Since none of the treatments for Dysfunctional Bleeding is superior to one of the others, and since all treatments have their advantages and disadvantages, counselling of patients with Dysfunctional Bleeding should incorporate medical approach, levonorgestrel releasing IUD, endometrial ablation and hysterectomy.

Wang Min-hu - One of the best experts on this subject based on the ideXlab platform.

  • Clinical effects and safety of levonorgestrel and mifepristone on Dysfunctional Uterine Bleeding
    The Chinese Journal of Clinical Pharmacology, 2015
    Co-Authors: Wang Min-hu
    Abstract:

    Objective To evaluate the clinical effect and safety of levonorgestrel releasing intraUterine system and mifepristone on peri-menopausal Dysfunctional Uterine Bleeding patients. Methods One hundred and six patients with peri- menopausal Dysfunctional Uterine Bleeding were divided into experiment group( n = 53) and control group( n =53),and patients in experiment group received levonorgestrel drug delivery system treatment,while patients in the control group were given mifepristone. The data of effect, the adverse reactions, endometrial thickness,volume of menstruation and hemoglobin concentration of the two groups were compared. Results The drug efficiency of experiment group( 94. 34%) was significantly higher than that of control group( 67. 92%,P 0. 05),and the incidence of adverse reactions in experiment group( 7. 55%) was significantly lower than that in control group( 33. 96%,P 0. 05). The data of endometrial thickness and the amount of menstrual of experiment group were significantly lower than that of control group,hemoglobin concentration was significantly higher than that of control group. Conclusion The levonorgestrel releasing intraUterine system has good effect on peri- menopausal Dysfunctional Uterine Bleeding,with less adverse reactions.