Oral contraceptives after myomectomy: A short term trial

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Abstract

Following myomectomy the rate of fertility is restored and pregnancy may be attempted with a good outcome. In the present study a 3 month treatment with OCs in a group of women after a myomectomy was evaluated. The drug compliance and side effects, the benefits of OC in order to reduce symptoms, to increase post-surgical hemoglobin levels and to avoid an early pregnancy after myomectomy were analyzed. A group of women () each with myoma 5 cm was recruited: they presented menorrhagia, pelvic pain, dyspareunia and dysmenorrhae. After laparotomic myomectomy the women were divided into 3 groups. Group 1: women () treated with pill A (15 mcg of ethynilestradiol + 60 mcg of gestodene); group 2: women () treated with pill B (20 mcg of ethynilestradiol + 100 mcg of levonorgestrel); group 3: women () treated with a placebo (oral calcium). After three months from myomectomy and treatment patients in each group reported a reduced menorrhagia, dismenorrhea and pelvic pain. Serum haemoglobin levels increased in all women (). No pregnancy occurred in any group and the compliance was good. A post surgery treatment by using oral contraceptives guarentees pregnancy prevention, associated with reduction of pain, and improvement of haematologic conditions.

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APA

Petraglia, F., Luisi, S., Ciani, V., Gabbanini, M., Sollazzi, S., Torricelli, M., & Calonaci, F. (2009). Oral contraceptives after myomectomy: A short term trial. International Journal of Endocrinology, 2009. https://doi.org/10.1155/2009/476897

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