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menorrhagia/fetma

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The effectiveness of the levonorgestrel intrauterine system in obese women with heavy menstrual bleeding.

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BACKGROUND To evaluate the effectiveness of the levonorgestrel intrauterine system (LNG-IUS) in obese women with heavy menstrual bleeding in Counties Manukau Auckland area, New Zealand. METHODS Prospective observational study in a tertiary teaching hospital. Twenty women with heavy menstrual

Endometrial ablation for the treatment of heavy menstrual bleeding in obese women.

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OBJECTIVE To compare the efficacy and safety of endometrial ablation (EA) among obese versus non-obese women. METHODS A retrospective cohort study of 666 women who underwent EA at the Mayo Clinic, Rochester, USA, between January 1, 1998, and December 31, 2005, was conducted. Obesity was defined as a

Radiofrequency endometrial ablation for the treatment of heavy menstrual bleeding among women at high surgical risk.

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OBJECTIVE To evaluate quality of life (QoL) after radiofrequency endometrial ablation (RFEA) for heavy menstrual bleeding among women at high surgical risk. METHODS An observational study was undertaken among women aged at least 18 years who underwent RFEA at Hanover Medical School, Germany, between

Iron Deficiency without Anemia: A Common Yet Under-Recognized Diagnosis in Young Women with Heavy Menstrual Bleeding.

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OBJECTIVE To assess the proportion of iron deficiency that is not detected with a screening hemoglobin or complete blood count (CBC) alone in young women with heavy menstrual bleeding. METHODS Retrospective review of electronic medical records. METHODS Nationwide Children's Hospital in Columbus,

Gynaecological issues affecting the obese adolescent.

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The implications of obesity in childhood and adolescence resonate into adulthood and have implications at different levels that include psychosocial and health issues that impact beyond reproductive performance. This chapter explores the various facets and consequences on gynaecological issues of

Endometrial polyps associated with endometrial hyperplasia in an obese bonnet monkey (Macaca radiata): a case report.

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BACKGROUND A 10-year-old, female bonnet monkey (Macaca radiata) showed abnormal menstrual cycle length with heavy menstrual bleeding for 6-8 days. METHODS Uterine ultrasound and histological examinations of endometrium by endometrial biopsy. RESULTS An ultrasound examination of the uterine cavity

Laparoscopic assisted vaginal hysterectomy in obese women.

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Twenty-two consecutive patients weighing 100 kg or more and requiring hysterectomy were treated by laparoscopic assisted vaginal hysterectomy. The mean patient weight was 105.2 kg. In 21 patients, the indication for hysterectomy was menorrhagia (9 of these had uterine fibroids) and one patient had

Obesity and GnRH action. Report of a case with contribution by peripherally derived estrogens.

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BACKGROUND Gonadotropin-releasing hormone agonists (GnRH-a) are effective in reducing the pituitary release of gonadotropins, which, in turn, decrease ovarian steroidogenesis. The resulting menopausal state decreases the volume and vascular supply to uterine leiomyomas. Peripheral adipose tissue

Thermal balloon endometrial ablation to treat menorrhagia in high-risk surgical candidates.

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OBJECTIVE To evaluate the safety and efficacy of thermal balloon therapy in a subset of women with menorrhagia considered to be high-risk surgical candidates for hysteroscopic endometrial ablation or hysterectomy. METHODS Prospective, observational study (Canadian Task Force classification

Levonorgestrel Intrauterine Device Use in Overweight and Obese Women.

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The levonorgestrel intrauterine device (LNG-IUD) is a safe, effective, long-acting, reversible contraceptive that reduces unintended pregnancy and decreases heavy menstrual bleeding. Many procedures such as IUD insertion are more challenging in overweight and obese women. The objective of this study

Heavy menstrual bleeding in adolescents: hormonal or hematologic?

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Adolescence in girls is marked by a host of physical and psychological changes including those associated with menstruation. Heavy menstrual bleeding is one of the most commonly encountered medical problems during transition from childhood to adulthood. Although common, it is likely underreported

Treatment Decisions in the Management of Menorrhagia.

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Menorrhagia--menstrual periods lasting longer than 7 days and totaling blood losses greater than 80mL--affects 9%-14% of otherwise healthy women, and it can signal cancer, an endocrinologic disorder, or gynecologic disease. Blood loss can be high enough to result in anemia, fatigue, and syncope.

Success rate, quality of life, and descriptive analysis after generalized endometrial ablation in an obese population.

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OBJECTIVE To describe the success rate of and the quality of life after global endometrial ablation in an obese population. METHODS A follow-up survey was mailed to 72 women who had undergone global endometrial ablation. The survey included a menorrhagia-specific NovaSure endometrial ablation

Efficacy of sibutramine, orlistat and combination therapy on short-term weight management in obese patients.

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OBJECTIVE To compare changes in anthropometric measures [body mass index (BMI), body weight] of obese patients treated with diet and exercise alone or additionally sibutramine, orlistat or the combination of both drugs, respectively. To describe encountered adverse effects. METHODS Short-term (12

Menorrhagia and severe menstrual pain related to the use of adalimumab in a psoriatic.

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The case is reported of a 32-year-old morbidly obese white woman who used adalimumab 40 mg every other week for 4 months for psoriatic arthritis, psoriasis vulgaris and inverse psoriasis with total clearance of her psoriasis who developed menorrhagia (at least twice the number of pads used daily for
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