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Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and Sexuality

Vitale, Salvatore Giovanni; Watrowski, Rafał; Barra, Fabio; D’alterio, Maurizio Nicola; Carugno, Jose; Sathyapalan, Thozhukat; Kahramanoglu, Ilker; Reyes-Muñoz, Enrique; Lin, Li Te; Urman, Bulent; Ferrero, Simone; Angioni, Stefano

Authors

Salvatore Giovanni Vitale

Rafał Watrowski

Fabio Barra

Maurizio Nicola D’alterio

Jose Carugno

Ilker Kahramanoglu

Enrique Reyes-Muñoz

Li Te Lin

Bulent Urman

Simone Ferrero

Stefano Angioni



Abstract

Abnormal uterine bleeding (AUB) is a frequent symptom in perimenopausal women. It is defined as uterine bleeding in which the duration, frequency, or amount of bleeding is considered excessive and negatively affects the woman’s quality of life (QoL) and psychological well-being. In cases of structural uterine pathology, hysterectomy (usually performed via a minimally invasive approach) offers definitive symptom relief and is associated with long-lasting improvement of QoL and sexuality. However, over the past 30 years, uterus-preserving treatments have been introduced as alternatives to hysterectomy. Hysteroscopic polypectomy, myomectomy, or endometrial resec-tion/endometrial ablation are minimally invasive techniques that can be used as an alternative to hysterectomy to treat AUB due to benign conditions. Although associated with high patient satisfaction and short-term improvement in their QoL, hysteroscopic treatments do not eliminate the risk of AUB recurrence or the need for further intervention. Therefore, considering the impact of different treatment options on QoL and sexuality during preoperative shared decision making could help identify the most appropriate and personalized treatment options for perimenopausal women suffering from AUB.

Citation

Vitale, S. G., Watrowski, R., Barra, F., D’alterio, M. N., Carugno, J., Sathyapalan, T., Kahramanoglu, I., Reyes-Muñoz, E., Lin, L. T., Urman, B., Ferrero, S., & Angioni, S. (2022). Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and Sexuality. Diagnostics, 12(5), Article 1176. https://doi.org/10.3390/diagnostics12051176

Journal Article Type Review
Acceptance Date Apr 29, 2022
Online Publication Date May 9, 2022
Publication Date 2022-05
Deposit Date Oct 2, 2022
Publicly Available Date Oct 3, 2022
Journal Diagnostics
Print ISSN 2075-4418
Electronic ISSN 2075-4418
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 12
Issue 5
Article Number 1176
DOI https://doi.org/10.3390/diagnostics12051176
Keywords Abnormal uterine bleeding; Hysteroscopy; Perimenopause; Quality of life; Sexuality
Public URL https://hull-repository.worktribe.com/output/4006897

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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0

Copyright Statement
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).





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