Administration of medroxyprogesterone acetate after endomyometrial resection.

STUDY OBJECTIVE

To assess the efficacy of endometrial resection for treatment of menorrhagia in women to whom no preoperative agent was given to prepare the endometrium.

DESIGN

Retrospective analysis of patients' records for all endometrial resections in which medroxyprogesterone acetate was used postoperatively.

SETTING

Hospital day surgery unit.

PATIENTS

Seventy patients with menorrhagia.

INTERVENTIONS

The women underwent transvaginal sonography, followed by hysteroscopy and endometrial biopsy. The endometrium was removed using the 27F resectoscope followed by coagulation with the rollerball. Medroxy-progesterone acetate was prescribed for 2 months after surgery.

MEASUREMENTS AND MAIN RESULTS

All women achieved a reduction in menstrual flow and 50% reported amenorrhea after endometrial resection. In only two was hysterectomy necessary due to recurrence of menorrhagia.

CONCLUSION

Preoperative endometrial preparation was unnecessary when endometrial resection was carried out for treatment of menorrhagia. However, the patients received medroxyprogesterone acetate postoperatively.