Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Feb 2013
ReviewMedical treatment of idiopathic heavy menstrual bleeding. What is new? An evidence based approach.
Heavy menstrual bleeding (HMB) is an important health problem affecting up to 30 % of reproductive age women, interfering with their quality of life. Medical therapy, with the avoidance of unnecessary surgery, is an attractive option. ⋯ Maintenance of status quo, i.e., keeping first-line treatment of idiopathic HMB as medical treatment is an essential issue. Modified-release formulation of tranexamic acid, the new four-phasic contraceptive pills and contraceptive vaginal ring are recently added to the medical armamentarium for treatment of idiopathic HMB increasing its efficacy.
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Arch. Gynecol. Obstet. · Feb 2013
Clinical TrialLaparoscopic repair of vaginal vault prolapse by lateral suspension with mesh.
To evaluate the long-term outcomes of laparoscopic lateral suspension using mesh reinforcement for symptomatic posthysterectomy vaginal vault prolapse. ⋯ Laparoscopic lateral suspension with mesh interposition is a safe and effective technique for the treatment of vaginal vault prolapse. This approach represents an alternative procedure to the laparoscopic sacrocolpopexy.