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BJOG. 2009 Sep;116(10):1387-90. doi: 10.1111/j.1471-0528.2009.02145.x.

The clinical relevance of hysteroscopic polypectomy in premenopausal women with abnormal uterine bleeding.

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1
Department of Gynaecology, Leiden University Medical Center, Leiden, the Netherlands. h.van_dongen@lumc.nl

Abstract

This study assessed the efficacy of hysteroscopic polyp removal in the management of abnormal uterine bleeding (AUB) of premenopausal patients. The monthly menstrual blood loss, measured semi-objectively by the pictorial blood loss assessment chart (PBAC) and patients satisfaction were recorded prospectively preoperatively and postoperatively. Twenty-one patients were included. Median monthly PBAC-score before treatment was 288 (range 142-670) and 6 months after polyp removal 155 (range 39-560). It was concluded that hysteroscopic polyp removal in premenopausal women with AUB reduces the monthly blood loss significantly and has a high satisfaction rate on the short term.

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