Lara BSDE, Lara BBIA, Santoyo HS, Leija TAA

Language: Spanish
References: 11
Page: 231-236
PDF size: 580.79 Kb.

ABSTRACT

Abnormal uterine bleeding (AUB) is a common gynecological complaint that significantly affects women's quality of life. This retrospective observational study compared clinical outcomes and patient satisfaction in women aged 25-45 years with AUB treated with either endometrial ablation or the levonorgestrel-releasing intrauterine system (LNG-IUS). A total of 51 patients treated between 2020 and 2023 at a private hospital in Mexico were included. Main outcomes assessed included menstrual bleeding reduction (via PBAC score), need for additional surgical intervention, and patient satisfaction at six months. Both treatments were effective, but endometrial ablation showed superior results: greater bleeding reduction (p = 0.0004), lower surgical reintervention rate (20 vs. 67.7%, p = 0.0023), and higher satisfaction (75 vs. 48.4%, p = 0.0041). No significant differences were found in treatment response based on AUB etiology (PALM-COEIN classification). These findings suggest that endometrial ablation may be a more effective option for women without reproductive desires who seek a definitive solution for AUB. The LNG-IUS remains a valid alternative for patients preferring a reversible treatment. Prospective studies with long-term follow-up are recommended to validate these results and assess sustained quality-of-life outcomes.

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