Psychiatric morbidity following endometrial ablation and its association with genuine menorrhagia

TY - JOUR

T1 - Psychiatric morbidity following endometrial ablation and its association with genuine menorrhagia

AU - Wright, Barry John Debenham

AU - Gannon, Michael J

AU - Greenberg, Maurice

AU - House, Allan

AU - Rutherford, Tony

PY - 2003/4

Y1 - 2003/4

N2 - OBJECTIVE: To explore the relation between pre-operative psychiatric morbidity, menstrual blood loss and psychiatric outcome in women receiving endometrial ablation for heavy periods.DESIGN: A prospective cohort study.SETTING: The menorrhagia clinic at Leeds General Infirmary.POPULATION: One hundred and twenty consecutive women referred to the Clinic for endometrial ablation.METHODS: Psychiatric interview and actual menstrual blood loss measurements at presentation pre-operatively and one year post endometrial ablation.MAIN OUTCOME MEASURE: Psychiatric status using the semi-structured interview, Present State Examination, with measurement of menstrual blood loss.RESULTS: Endometrial ablation was performed on 92 women. Of the 87 women evaluated 51 (59%) had clinically significant psychiatric symptoms, mainly depression and anxiety. Psychiatric morbidity fell to 21.8% at one year after endometrial ablation. Women with the best psychiatric outcome (6% post-operative psychiatric morbidity) were those with genuine menorrhagia (> or =80 mL) and low psychiatric morbidity pre-operatively. Those who fared worst (39% post-operative psychiatric morbidity) were women with high pre-operative psychiatric morbidity and low menstrual blood loss. Of seven women with very low losses [mean 19 mL (SD 17)] who did not proceed to surgery after counselling, six (86%) had significant psychiatric morbidity.CONCLUSIONS: Pre-operative psychiatric status and menstrual blood loss are predictors of outcome of surgery for women with reported heavy periods.

AB - OBJECTIVE: To explore the relation between pre-operative psychiatric morbidity, menstrual blood loss and psychiatric outcome in women receiving endometrial ablation for heavy periods.DESIGN: A prospective cohort study.SETTING: The menorrhagia clinic at Leeds General Infirmary.POPULATION: One hundred and twenty consecutive women referred to the Clinic for endometrial ablation.METHODS: Psychiatric interview and actual menstrual blood loss measurements at presentation pre-operatively and one year post endometrial ablation.MAIN OUTCOME MEASURE: Psychiatric status using the semi-structured interview, Present State Examination, with measurement of menstrual blood loss.RESULTS: Endometrial ablation was performed on 92 women. Of the 87 women evaluated 51 (59%) had clinically significant psychiatric symptoms, mainly depression and anxiety. Psychiatric morbidity fell to 21.8% at one year after endometrial ablation. Women with the best psychiatric outcome (6% post-operative psychiatric morbidity) were those with genuine menorrhagia (> or =80 mL) and low psychiatric morbidity pre-operatively. Those who fared worst (39% post-operative psychiatric morbidity) were women with high pre-operative psychiatric morbidity and low menstrual blood loss. Of seven women with very low losses [mean 19 mL (SD 17)] who did not proceed to surgery after counselling, six (86%) had significant psychiatric morbidity.CONCLUSIONS: Pre-operative psychiatric status and menstrual blood loss are predictors of outcome of surgery for women with reported heavy periods.

KW - Adult

KW - Anxiety

KW - Catheter Ablation

KW - Cohort Studies

KW - Depression

KW - Emotions

KW - Endometrium

KW - Female

KW - Humans

KW - Libido

KW - Menorrhagia

KW - Mental Health

KW - Middle Aged

KW - Patient Satisfaction

KW - Preoperative Care

KW - Prospective Studies

KW - Treatment Outcome

M3 - Article

C2 - 12699796

SN - 1470-0328

VL - 110

SP - 358

EP - 363

JO - BJOG : an international journal of obstetrics and gynaecology

JF - BJOG : an international journal of obstetrics and gynaecology

IS - 4

ER -