Preliminary report of treatment with oral contraceptive pills for intermenstrual vaginal bleeding secondary to a cesarean section scar

Masahiro Tahara; Takashi Shimizu; Hisayoshi Shimoura

doi:10.1016/j.fertnstert.2006.01.020

Preliminary report of treatment with oral contraceptive pills for intermenstrual vaginal bleeding secondary to a cesarean section scar

Fertil Steril. 2006 Aug;86(2):477-9. doi: 10.1016/j.fertnstert.2006.01.020. Epub 2006 Jun 12.

Authors

Masahiro Tahara¹, Takashi Shimizu, Hisayoshi Shimoura

Affiliation

¹ Osaka University Graduate School of Medicine, Department of Obstetrics and Gynecology, Suita, Osaka, Japan. taharam@gyne.med.osaka-u.ac.jp

PMID: 16769058
DOI: 10.1016/j.fertnstert.2006.01.020

Abstract

Uterine scar has been reported as a possible cause of intermenstrual bleeding in women with previous cesareans. We evaluated the effectiveness of combined hormonal therapy (estrogen and progesterone tablets containing 0.5 mg of norgestrel and 0.05 mg of ethynyl estradiol) in patients with recurring vaginal bleeding after cesarean section. Several cycles of the hormonal therapy eliminated the problem of abnormal vaginal bleeding, and the patients were satisfied with the treatment.

Publication types

Clinical Trial
Multicenter Study

MeSH terms

Adult
Cesarean Section / adverse effects*
Cicatrix / complications*
Cicatrix / diagnostic imaging
Cicatrix / etiology*
Contraceptives, Oral / administration & dosage
Contraceptives, Oral / therapeutic use*
Contraceptives, Oral, Synthetic / therapeutic use
Drug Combinations
Estrogens / therapeutic use
Ethinyl Estradiol / therapeutic use
Female
Humans
Norgestrel / therapeutic use
Patient Satisfaction
Radiography
Tablets
Treatment Outcome
Ultrasonography, Doppler, Color
Uterine Hemorrhage / drug therapy*
Uterine Hemorrhage / etiology*

Substances

Contraceptives, Oral
Contraceptives, Oral, Synthetic
Drug Combinations
Estrogens
Tablets
Norgestrel
Ethinyl Estradiol