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ArtikelPresurgical management of dysmenorrhea and endometriosis in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome  
Oleh: Elliott, Jason E. ; Abduljabar, Hanin ; Morris, Margaret J.
Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 96 no. 02 (Aug. 2011), page e86-e89.
Topik: Mayer-Rokitansky-Kuster-Hauser syndrome; oral contraceptive; endometriosis; laparoscopy; müllerian anomalies
Ketersediaan
  • Perpustakaan FK
    • Nomor Panggil: F02.K.2011.04
    • Non-tandon: 1 (dapat dipinjam: 0)
    • Tandon: tidak ada
    Lihat Detail Induk
Isi artikelObjective To report a patient with Mayer-Rokitansky-Kuster-Hauser syndrome with functional endometrium treated with preoperative continuous combined low-dose monophasic oral contraceptives. Design Case report. Setting University hospital. Patient(s) A 12-year-old nulligravid adolescent girl. Intervention(s) Preoperative continuous combined low-dose monophasic oral contraceptives for 7 months, and laparoscopic resection of the rudimentary uterus and uterine horns with unilateral salpingo-oophorectomy. Main Outcome Measure(s) Relief of pain after hormonal treatment and the operative procedure. Result(s) Successful preoperative treatment of endometriosis and pain before definitive diagnosis and removal of müllerian remnants in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome. Conclusion(s) Patients with obstructive müllerian malformations with functional endometrium can be preoperatively managed with continuous combined low-dose monophasic oral contraceptives to control pain and treat endometriosis. This may permit a delay in surgical intervention to facilitate other investigations and to allow thorough counselling of the patient and her family about the implications of the diagnosis.
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