The effect of increasing age on the outcome of hysteroscopic endometrial resection for management of dysfunctional uterine bleeding.
OBJECTIVE
To determine the outcome of hysteroscopic endometrial resection for dysfunctional uterine bleeding according to women's age.


METHODS
Long-term follow-up by telephone interview (Canadian Task Force classification II-2).


METHODS
University-affiliated medical center. Patients. One hundred sixty-nine women with abnormal uterine bleeding unresponsive to conservative medical management.


METHODS
Hysteroscopic endometrial resection.


RESULTS
Questionnaires were completed for 162 (95.9%) patients with mean +/- SD follow-up of 32 +/- 17 months. The frequency of postoperative complications was not related to age. After ablation, the rate of amenorrhea was significantly higher in 31 women age 50 years or older than in younger women (p <0.001), and also in 72 women age 45 to 49 than in 59 age 44 or less (p <0.05). Complete relief of dysmenorrhea was achieved significantly more often in women age 45 to 49 (p <0.005) and 50 or older (p <0.05) than in those age 44 or younger. Dissatisfaction with the outcome of endometrial resection was uncommon, but most frequent among women age 44 or younger (p <0.10). There was no difference in the proportion of women requiring second ablation or hysterectomy in any age group.


CONCLUSIONS
Significantly higher rates of amenorrhea and complete relief of dysmenorrhea after endometrial resection are achieved in older than in younger women.
Seidman
D S
DS
Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Bitman
G
G
Mashiach
S
S
Hart
S
S
Goldenberg
M
M
D000328:Adult; D000367:Age Factors; D000568:Amenorrhea / Q000209:etiology; D004717:Endometrium / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy; D008595:Menorrhagia / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D013997:Time Factors; D016896:Treatment Outcome