The effect of hysterectomy or levonorgestrel-releasing intrauterine system on lower abdominal pain and back pain among women treated for menorrhagia: a five-year randomized controlled trial. Export

@article{citeulike:6067405, abstract = {Abstract Objective. The purpose of this study was to evaluate the changes in lower abdominal pain and back pain among women with menorrhagia treated by hysterectomy or levonorgestrel-releasing intrauterine system (LNG-IUS). Design. A randomized controlled trial. Setting. Five university hospitals in Finland. Sample. A total of 236 women, aged 35-49 years. Methods. Women were randomly assigned to treatment by hysterectomy (n = 117) or LNG-IUS (n = 119). Main outcome measures. Frequency and intensity of lower abdominal pain and back pain were evaluated by questionnaires at baseline and after 6 months, 12 months and 5 years. Results. By six months, women in both groups had less frequent back pain than before treatment (p < 0.001). Lower abdominal pain decreased only in the hysterectomy group (p = 0.02) with significant differences between the groups. Between 12 months and 5 years, frequency of lower abdominal pain (p = 0.05) and back pain (p = 0.002) decreased more in the LNG-IUS group than in the hysterectomy group. Between baseline and five years, the lower abdominal pain score (including frequency and intensity of pain) decreased in both groups (p < 0.001, p = 0.01). Back pain score decreased only in the LNG-IUS group and the difference between the groups was significant (p = 0.02). However, some women experienced more pain after both treatments than before treatment. In multivariate analyses, LNG-IUS use was associated with a decrease in lower abdominal pain and back pain. Conclusions. In the treatment of menorrhagia, both hysterectomy and LNG-IUS decrease lower abdominal pain. LNG-IUS use, but not hysterectomy, has beneficial effects on back pain.}, author = {Heli\"{o}vaara-Peippo, Satu and Halmesm\"{a}ki, Karoliina and Hurskainen, Ritva and Teperi, Juha and Grenman, Seija and Kivel\"{a}, Aarre and Kujansuu, Erkki and Tuppurainen, Marjo and Vuorma, Sirkku and Yliskoski, Merja and Paavonen, Jorma}, citeulike-article-id = {6067405}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/19878089}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=19878089}, day = {2}, issn = {1600-0412}, journal = {Acta obstetricia et gynecologica Scandinavica}, keywords = {meno\_what, menorrhagia, psychiatry, yours}, month = {November}, posted-at = {2009-11-04 11:49:03}, priority = {2}, title = {The effect of hysterectomy or levonorgestrel-releasing intrauterine system on lower abdominal pain and back pain among women treated for menorrhagia: a five-year randomized controlled trial.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/19878089}, year = {2009} }

TY - JOUR ID - citeulike:6067405 L3 - citeulike-article-id:6067405 N2 - Abstract Objective. The purpose of this study was to evaluate the changes in lower abdominal pain and back pain among women with menorrhagia treated by hysterectomy or levonorgestrel-releasing intrauterine system (LNG-IUS). Design. A randomized controlled trial. Setting. Five university hospitals in Finland. Sample. A total of 236 women, aged 35-49 years. Methods. Women were randomly assigned to treatment by hysterectomy (n = 117) or LNG-IUS (n = 119). Main outcome measures. Frequency and intensity of lower abdominal pain and back pain were evaluated by questionnaires at baseline and after 6 months, 12 months and 5 years. Results. By six months, women in both groups had less frequent back pain than before treatment (p < 0.001). Lower abdominal pain decreased only in the hysterectomy group (p = 0.02) with significant differences between the groups. Between 12 months and 5 years, frequency of lower abdominal pain (p = 0.05) and back pain (p = 0.002) decreased more in the LNG-IUS group than in the hysterectomy group. Between baseline and five years, the lower abdominal pain score (including frequency and intensity of pain) decreased in both groups (p < 0.001, p = 0.01). Back pain score decreased only in the LNG-IUS group and the difference between the groups was significant (p = 0.02). However, some women experienced more pain after both treatments than before treatment. In multivariate analyses, LNG-IUS use was associated with a decrease in lower abdominal pain and back pain. Conclusions. In the treatment of menorrhagia, both hysterectomy and LNG-IUS decrease lower abdominal pain. LNG-IUS use, but not hysterectomy, has beneficial effects on back pain. JF - Acta obstetricia et gynecologica Scandinavica SN - 1600-0412 TI - The effect of hysterectomy or levonorgestrel-releasing intrauterine system on lower abdominal pain and back pain among women treated for menorrhagia: a five-year randomized controlled trial. KW - meno_what KW - menorrhagia KW - psychiatry KW - yours AU - Heliövaara-Peippo, Satu AU - Halmesmäki, Karoliina AU - Hurskainen, Ritva AU - Teperi, Juha AU - Grenman, Seija AU - Kivelä, Aarre AU - Kujansuu, Erkki AU - Tuppurainen, Marjo AU - Vuorma, Sirkku AU - Yliskoski, Merja AU - Paavonen, Jorma PY - 2009/11/02/ UR - http://view.ncbi.nlm.nih.gov/pubmed/19878089 ER -