title: Preliminary report of treatment with oral contraceptive pills for intermenstrual vaginal bleeding secondary to a cesarean section scar.
abstract: Uterine scar has been reported as a possible cause of intermenstrual bleeding in women with previous cesareans. We evaluated the effectiveness of combined hormonal therapy (estrogen and progesterone tablets containing 0.5 mg of norgestrel and 0.05 mg of ethynyl estradiol) in patients with recurring vaginal bleeding after cesarean section. Several cycles of the hormonal therapy eliminated the problem of abnormal vaginal bleeding, and the patients were satisfied with the treatment.
authors.affiliation: Osaka University Graduate School of Medicine, Department of Obstetrics and Gynecology, Suita, Osaka, Japan. taharam@gyne.med.osaka-u.ac.jp
authors.forename: Masahiro
authors.initials: M
authors.lastname: Tahara
authors.forename: Takashi
authors.initials: T
authors.lastname: Shimizu
authors.forename: Hisayoshi
authors.initials: H
authors.lastname: Shimoura
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology*; D003276:Contraceptives, Oral / Q000008:administration & dosage / Q000627:therapeutic use*; D003280:Contraceptives, Oral, Synthetic / Q000627:therapeutic use; D004338:Drug Combinations; D004967:Estrogens / Q000627:therapeutic use; D004997:Ethinyl Estradiol / Q000627:therapeutic use; D005260:Female; D006801:Humans; D009644:Norgestrel / Q000627:therapeutic use; D017060:Patient Satisfaction; D011859:Radiography; D013607:Tablets; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014592:Uterine Hemorrhage / Q000188:drug therapy* / Q000209:etiology*
chemical_list: D003276:Contraceptives, Oral; D003280:Contraceptives, Oral, Synthetic; D004338:Drug Combinations; D004967:Estrogens; D013607:Tablets; D009644:Norgestrel; D004997:Ethinyl Estradiol