Rashid, S., Khaund, A., Murray, L., Moss, J.G., Cooper, K., Lyons, D., Murray, G.D. and Lumsden, M.A. (2010) The effects of uterine artery embolisation and surgical treatment on ovarian function in women with uterine fibroids. BJOG: An International Journal of Obstetrics and Gynaecology, 117(8), pp. 985-989. (doi: 10.1111/j.1471-0528.2010.02579.x)
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Abstract
Objective The aim of this study was to evaluate and compare both ovarian function and menstrual characteristics following uterine artery embolisation (UAE) and surgery. Design Subgroup of women from a randomised controlled trial. Setting Gynaecology and radiology units in Scotland, UK. Population Ninety-six women from the randomised controlled trial comparing embolisation with surgery as a treatment for fibroids (REST), which recruited 157 patients (106 UAE; 51 surgery). Methods Seventy-three women undergoing UAE and 23 women undergoing surgery (with ovarian conservation) had serum follicle-stimulating hormone (FSH) measurements taken on day 3 of the menstrual cycle prior to treatment, and at 6 and 12 months post-treatment. Data on menstrual cycle characteristics was also collected. Main outcome measures Ovarian failure, as defined by an FSH level of > 40 iu/l, and change in duration of menses and length of menstrual cycle. Results There was no significant difference in the rate of ovarian failure at 12 months between UAE (11%) and surgical patients (18%) (P = 0.44). This finding was not influenced by age. The mean duration of menstrual flow decreased significantly, from baseline to 12 months, by 1.7 days (SD 3.8), (95% CI 0.8-2.6). There was no statistically significant change in mean cycle length at 12 months (0.7 days [SD 4.9]; 95% CI [-0.5, 1.9]). Conclusions There is no evidence for UAE accelerating a deterioration in ovarian function at 1 year, when compared with surgery. UAE is associated with a decrease in the duration of menstrual flow at 1 year
Item Type: | Articles |
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Additional Information: | The definitive version is available at www3.interscience.wiley.com |
Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Murray, Ms Gillian and Murray, Dr Lilian and Lumsden, Professor Mary |
Authors: | Rashid, S., Khaund, A., Murray, L., Moss, J.G., Cooper, K., Lyons, D., Murray, G.D., and Lumsden, M.A. |
College/School: | College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Clinical Specialities |
Journal Name: | BJOG: An International Journal of Obstetrics and Gynaecology |
Publisher: | Wiley-Blackwell Publishing Ltd. |
ISSN: | 1470-0328 |
ISSN (Online): | 1471-0528 |
Published Online: | 11 May 2010 |
Copyright Holders: | Copyright © 2010 RCOG |
First Published: | First published in BJOG: An International Journal of Obstetrics and Gynaecology 117(8):985-989 |
Publisher Policy: | Reproduced in accordance with the copyright policy of the publisher |
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