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Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and Sexuality

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Obstetrics and Gynecology Unit, Department of General Surgery and Medical Surgical Specialties, University of Catania, 95124 Catania, Italy
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Faculty of Medicine (Associate), University of Freiburg, 79106 Freiburg, Germany
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Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, University of Genova, 16132 Genoa, Italy
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Division of Gynecology and Obstetrics, Department of Surgical Sciences, University of Cagliari, 09124 Cagliari, Italy
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Obstetrics, Gynecology and Reproductive Sciences Department, University of Miami, Miami, FL 33146, USA
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Academic Diabetes, Endocrinology and Metabolism, Hull York Medical School, University of Hull, Kingston upon Hull HU6 7RX, UK
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Department of Gynecologic Oncology, Emsey Hospital, 34912 Istanbul, Turkey
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Department of Gynecological and Perinatal Endocrinology, Instituto Nacional de Perinatología, Mexico City 11000, Mexico
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Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, No. 386, Dazhong 1st Rd., Zuoying Dist, Kaohsiung City 81362, Taiwan
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Department of Obstetrics and Gynecology, National Yang-Ming University School of Medicine, No. 155, Sec. 2, Li-Nong Street, Pei-Tou, Taipei 11265, Taiwan
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Department of Biological Science, National Sun Yat-sen University, 70 Lienhai Rd., Kaohsiung City 80424, Taiwan
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Centre for Reproductive Endocrinology and Infertility, American Hospital, 34365 Istanbul, Turkey
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Department of Obstetrics and Gynecology, Reproductive Endocrinology, Infertility Centre Istanbul, Koc University, 34450 Istanbul, Turkey
*
Authors to whom correspondence should be addressed.
These authors contributed equally to this work.
Academic Editor: Rute Santos
Diagnostics 2022, 12(5), 1176; https://doi.org/10.3390/diagnostics12051176
Received: 30 March 2022 / Revised: 26 April 2022 / Accepted: 29 April 2022 / Published: 9 May 2022
(This article belongs to the Special Issue Advances in Hysteroscopy)
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 resection/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. View Full-Text
Keywords: abnormal uterine bleeding; hysteroscopy; perimenopause; quality of life; sexuality abnormal uterine bleeding; hysteroscopy; perimenopause; quality of life; sexuality
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MDPI and ACS Style

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. Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and Sexuality. Diagnostics 2022, 12, 1176. https://doi.org/10.3390/diagnostics12051176

AMA Style

Vitale SG, Watrowski R, Barra F, D’Alterio MN, Carugno J, Sathyapalan T, Kahramanoglu I, Reyes-Muñoz E, Lin L-T, Urman B, Ferrero S, Angioni S. Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and Sexuality. Diagnostics. 2022; 12(5):1176. https://doi.org/10.3390/diagnostics12051176

Chicago/Turabian Style

Vitale, Salvatore Giovanni, Rafał Watrowski, Fabio Barra, Maurizio Nicola D’Alterio, Jose Carugno, Thozhukat Sathyapalan, Ilker Kahramanoglu, Enrique Reyes-Muñoz, Li-Te Lin, Bulent Urman, Simone Ferrero, and Stefano Angioni. 2022. "Abnormal Uterine Bleeding in Perimenopausal Women: The Role of Hysteroscopy and Its Impact on Quality of Life and Sexuality" Diagnostics 12, no. 5: 1176. https://doi.org/10.3390/diagnostics12051176

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