ADMINISTRATION OF MEDROXYPROGESTERONE ACETATE AFTER ENDOMYOMETRIAL RESECTION

Study Objective. To assess the efficacy of endometrial resection for t reatment of menorrhagia in women to whom no preoperative agent was giv en to prepare the endometrium. Design. Retrospective analysis of patie nts' records for all endometrial resections in which medroxyprogestero ne acetate was used postoperatively. Setting Hospital day surgery unit . Patients. Seventy patients with menorrhagia. interventions. The wome n underwent transvaginal sonography, followed by hysteroscopy and endo metrial biopsy. The endometrium was removed using the 27F resectoscope followed by coagulation with the rollerball. Medroxyprogesterone acet ate was prescribed for 2 months after surgery. Measurements and Main R esults. All women achieved a reduction in menstrual flow and 50% repor ted amenorrhea after endometrial resection. In only two was hysterecto my necessary due to recurrence of menorrhagia. Conclusion. Preoperativ e endometrial preparation was unnecessary when endometrial resection w as carried out for treatment of menorrhagia. However, the patients rec eived medroxyprogesterone acetate postoperatively.