Success of uterus-preserving treatments for abnormal uterine bleeding, chronic pelvic pain, and symptomatic fibroids: age and bridges to menopause

Am J Obstet Gynecol. 2011 Mar;204(3):272.e1-7. doi: 10.1016/j.ajog.2010.12.052.

Abstract

Objective: The purpose of this study was to determine whether age at first uterus-preserving treatment (UPT) predicts symptom resolution among women with common pelvic problems.

Study design: We conducted an analysis of 557 participants in the Study of Pelvic Problems, Hysterectomy and Intervention Alternatives cohort who reported having undergone a UPT. We performed multivariable regression modeling age at first UPT, hysterectomy, menopause, and other covariates to predict symptom resolution.

Results: Mean ± SD age at enrollment was 42.7 ± 4.7 years; mean follow-up time was 4.4 ± 2.7 years. Sixteen percent of the women underwent hysterectomy; 37% of the women entered menopause. Hysterectomy was a strong predictor of symptom resolution (P < .001). Compared with women who were younger (first UPT at age <40 years), older women reported greater symptom resolution, even after the data were controlled for hysterectomy use and menopausal status (P = .028).

Conclusion: Women who are ≥40 years old when they undergo their first uterus-preserving treatment experience greater symptom resolution than younger women. Framing UPTs as hysterectomy alternatives may be accurate only for a subset of women who are >40 years old.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Age Factors
  • Chronic Disease
  • Female
  • Gynecologic Surgical Procedures
  • Humans
  • Hysterectomy
  • Leiomyoma / surgery*
  • Menopause
  • Middle Aged
  • Pelvic Pain / surgery*
  • Treatment Outcome
  • Uterine Hemorrhage / surgery*
  • Uterine Neoplasms / surgery*
  • Uterus / surgery*