Oral Contraceptives after Myomectomy : A Short Term Trial

الملخص EN

Following myomectomy the rate of fertility is restored and pregnancy may be attempted with a good outcome.

In the present study a 3 month treatment with OCs in a group of women after a myomectomy was evaluated.

The drug compliance and side effects, the benefits of OC in order to reduce symptoms, to increase post-surgical hemoglobin levels and to avoid an early pregnancy after myomectomy were analyzed.

A group of women (n=55) each with myoma ≥5 cm was recruited: they presented menorrhagia, pelvic pain, dyspareunia and dysmenorrhae.

After laparotomic myomectomy the women were divided into 3 groups.

Group 1: women (n=16) treated with pill A (15 mcg of ethynilestradiol + 60 mcg of gestodene); group 2: women (n=23) treated with pill B (20 mcg of ethynilestradiol + 100 mcg of levonorgestrel); group 3: women (n=16) treated with a placebo (oral calcium).

After three months from myomectomy and treatment patients in each group reported a reduced menorrhagia, dismenorrhea and pelvic pain.

Serum haemoglobin levels increased in all women (P<.05).

No pregnancy occurred in any group and the compliance was good.

A post surgery treatment by using oral contraceptives guarentees pregnancy prevention, associated with reduction of pain, and improvement of haematologic conditions.