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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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Department of Gynaecology, Leiden University Medical Center, Leiden, the Netherlands.


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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