Salvatore Giovanni Vitale
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
Rafał Watrowski
Fabio Barra
Maurizio Nicola D’alterio
Jose Carugno
Professor Thozhukat Sathyapalan T.Sathyapalan@hull.ac.uk
Professor of Diabetes, Endocrinology and Metabolism
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 |
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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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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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