Pre-operative endometrial thinning agents before endometrial destruction for heavy menstrual bleeding

Tan, Yu Hwee; Lethaby, Anne

doi:10.1002/14651858.cd010241.pub2

Cited by 42 publications

(8 citation statements)

References 54 publications

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“…37 Indeed, this corroborates the findings of a 2013 Cochrane review assessing preoperative endometrial thinning with a GnRH agonist, danazol, progestin–estrogen combinations, and progestogens, which confirmed that, although both the GnRH agonist and danazol were effective, GnRH agonist therapy seemed to be better tolerated. 38…”

Section: Discussionmentioning

confidence: 99%

Pharmacologic Interventions to Minimize Fluid Absorption at the Time of Hysteroscopy

Desilets

Zakhari

Chagnon

et al. 2023

Obstetrics &Amp; Gynecology

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Section: Discussionmentioning

confidence: 99%

Pharmacologic Interventions to Minimize Fluid Absorption at the Time of Hysteroscopy

Desilets

Zakhari

Chagnon

et al. 2023

Obstetrics &Amp; Gynecology

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“…Endometrial thinning prior to hysteroscopic surgery leads to a clearer view, which reduces the risk of intraoperative complications such as perforation, and leads to a shorter operation time in general. Furthermore, a thin endometrium improves the intra-uterine operating environment, and reduces distension medium absorption ( Sowter et al, 2002 ; Tan et al, 2013 ). This may also result in a greater improvement in long term outcomes such as menstrual loss and dysmenorrhoea.…”

Section: Discussionmentioning

confidence: 99%

Critical Role of 3D ultrasound in the diagnosis and management of Robert’s uterus: a single-centre case series and a review.

Deenadayal¹,

Alkatout

Freytag

et al. 2021

Facts Views Vis ObGyn

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A septate uterus with a non-communicating hemicavity was first described by Robert in 1969/70 as a specific malformation of the uterus. The condition is commonly associated with a blind uterine hemicavity, unilateral haematometra, a contralateral unicornuate uterine cavity and a normal external uterine fundus. The main symptoms are repetitive attacks of pain at four-weekly intervals around menarche, repeated dysmenorrhea, recurrent pregnancy loss and infertility. In this report, we review the disease, its diagnosis and treatment, and describe five cases of Robert’s uterus. Three dimensional (3D) ultrasound (US) imaging was performed by the transvaginal route in four cases. In the fifth case of a 13-year-old girl, we avoided the vaginal route and magnetic resonance imaging (MRI) and 3D transrectal US yielded the correct diagnosis. The following treatment procedures were undertaken: laparoscopic endometrectomy, hysteroscopic septum resection, laparoscopic uterine hemicavity resection and total laparoscopic hysterectomy (TLH). The diagnosis and optimum treatment of Robert’s uterus remains difficult for clinicians because of its rarity. A detailed and careful assessment by 3D US should be performed, followed by hysteroscopy in combination with laparoscopy, to confirm the diagnosis.

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“…However, there is no consensus on the optimal method of endometrial preparation (GnRH-a, Danazol, or the combined oral contraceptive) and whether these agents have any benefits for second-generation endometrial ablation, or other hysteroscopic surgery such as removal of septae or submucous fibroids [9]. GnRH analogues are very potent drugs, producing menopausal symptom side effects.…”

Section: Patient Preparationmentioning

confidence: 99%

Complications of hysteroscopy and how to avoid them

McGurgan

McIlwaine

2015

Best Practice & Research Clinical Obstetrics & Gynaecol

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Pre-operative endometrial thinning agents before endometrial destruction for heavy menstrual bleeding

Cited by 42 publications

References 54 publications

Pharmacologic Interventions to Minimize Fluid Absorption at the Time of Hysteroscopy

Pharmacologic Interventions to Minimize Fluid Absorption at the Time of Hysteroscopy

Critical Role of 3D ultrasound in the diagnosis and management of Robert’s uterus: a single-centre case series and a review.

Complications of hysteroscopy and how to avoid them

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