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Women's Health

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Surgery vs. Medication for Heavy Periods?

Most Women Do Better With Hysterectomy, Studies Show
WebMD Health News

March 23, 2004 -- Women who have hysterectomies to stop heavy periods may do better than those who continue with medication, new research suggests. But the findings do not mean that surgery is the best choice for everyone.

In two newly published studies, roughly half of the women taking medication to control heavy periods ended up having hysterectomies because they were unhappy with treatment. But a substantial percentage of women who continued on drugs reported improvements, as well. The studies are published in the March 24/31 issue of TheJournal of the American Medical Association.

"No matter which option a woman chooses, treating this uterine condition can have a profound impact on all aspects of her health-related quality of life," researcher Miriam Kuppermann, PhD, tells WebMD. "Women who chose hysterectomy can expect a very positive outcome. But those who want to persist with expanded medical treatment may also improve."

The Studies

Hysterectomy is one of the most common major surgeries performed in the U.S., with more than 600,000 American women having the procedure each year. The vast majority of these women chose to have their uterus removed by surgery because of abnormally heavy periods or other non-life-threatening problems, before menopause.

Kuppermann and colleagues from the University of California, San Francisco, studied 63 women with heavy periods who already had been treated with a variety of medications prior to the study. Each woman either took more aggressive medical treatment or had a hysterectomy. The women were followed for a period of two years. Each woman was assigned a score based on mental well-being, symptom resolution, sexual interest and satisfaction, ability to sleep, and overall satisfaction with health.

Six months into the study, the women in the hysterectomy group scored better than those in the drug-treatment group. By the end of the two-year follow-up period, 53% of the women in the drug treatment group had requested and received hysterectomies. They reported improved symptom scores after undergoing hysterectomies.

Women who opted to continue on medication also reported improvements at the end of the two-year period. The researchers report that differences among the groups were minimal by the end of the two-year trial.

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