Document Detail


The incidence and characteristics of uterine bleeding during postoperative GnRH agonist treatment combined with tibolone add-back therapy in endometriosis patients of reproductive age.
MedLine Citation:
PMID:  16806656     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: This study was undertaken to evaluate the incidence and the factors associated with uterine bleeding while taking GnRH agonist treatment combined with tibolone add-back therapy in endometriosis patients of reproductive age. STUDY DESIGN: The medical records of 188 endometriosis (stages III-IV) patients of reproductive age receiving postoperative GnRH agonist treatment combined with tibolone add-back therapy for 6 months were reviewed. Clinical features were analyzed and compared between the two groups: Group A, patients without an episode of uterine bleeding (n=137) and Group B, patients that had experienced uterine bleeding (n=51). RESULTS: Demographic profiles were not different in the two groups. The incidence of uterine bleeding was 27.1% and irregular spotting was the most frequent bleeding pattern. The proportion of patients who received ovarian surgery during pelviscopy was higher in Group B (p<0.05), but other clinical characteristics were not different between two groups. CONCLUSIONS: The incidence of uterine bleeding was 27.1%. And, the proportion of patients who received ovarian surgery was higher in patients with uterine bleeding.
Authors:
So-Young Shin; Jung-Ae Min; Byung-Koo Yoon; Duk Soo Bae; Doo Seok Choi
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Publication Detail:
Type:  Journal Article     Date:  2006-06-27
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  133     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-26     Completed Date:  2007-09-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  90-4     Citation Subset:  IM    
Affiliation:
Department of Obstetrics & Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-Dong Gangnam-gu, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Drug Therapy, Combination
Endometriosis / drug therapy*,  surgery
Female
Gonadotropin-Releasing Hormone / agonists*
Humans
Incidence
Norpregnenes / therapeutic use*
Postoperative Complications / epidemiology*,  ultrasonography
Retrospective Studies
Uterine Hemorrhage / epidemiology*,  ultrasonography
Chemical
Reg. No./Substance:
0/Norpregnenes; 33515-09-2/Gonadotropin-Releasing Hormone; 5630-53-5/tibolone

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