Abstract
Objective: The purpose of this study was to describe health-related quality of life and satisfaction after global endometrial ablation in women with bleeding disorders and a systematic review of the literature. Study Design: A follow-up survey was mailed to 36 patients with bleeding disorders and 110 reference patients (no coagulopathies) who underwent global endometrial ablation for menorrhagia. The survey included a generic (SF-12) and menorrhagia multi-attribute utility scale questionnaires. Results: Ninety-six women (66%) responded. The total menorrhagia multiattribute utility scale score increased from 35-100 in bleeding disorder cohort (P = .03) and from 48-100 in the reference cohort (P < .001). Although postablation SF-12 mental domain scores were comparable in both cohorts (55 vs 55; P = .67), physical domain scores were lower in the bleeding disorder cohort (50 vs 56; P < .001). High satisfaction was reported by both cohorts (95% vs 84%; P = .60). Conclusion: Global endometrial ablation improved health-related quality of life for women with bleeding disorders and had high satisfaction rates.
Original language | English (US) |
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Pages (from-to) | 348.e1-348.e7 |
Journal | American journal of obstetrics and gynecology |
Volume | 202 |
Issue number | 4 |
DOIs | |
State | Published - Apr 2010 |
Keywords
- bleeding disorder
- endometrial ablation
- excessive menstrual bleeding
- menorrhagia
ASJC Scopus subject areas
- Obstetrics and Gynecology