Lignes directrices sur la prise en charge du saignement ... - SOGC
Lignes directrices sur la prise en charge du saignement ... - SOGC
Lignes directrices sur la prise en charge du saignement ... - SOGC
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les symptômes persist<strong>en</strong>t, mais qui ont eu des résultats de tests<br />
négatifs, doiv<strong>en</strong>t être examinées de nouveau. (II B)<br />
5. Les progestatifs pris <strong>du</strong>rant <strong>la</strong> phase lutéale des cycles m<strong>en</strong>struels<br />
ovu<strong>la</strong>toires ré<strong>du</strong>is<strong>en</strong>t efficacem<strong>en</strong>t les saignem<strong>en</strong>ts<br />
m<strong>en</strong>struels réguliers excessifs. (I A)<br />
6. Alors que <strong>la</strong> di<strong>la</strong>tation-curetage (DC) peut jouer un rôle dans<br />
le diagnostic, elle n’offre pas une thérapie efficace pour les<br />
femmes ayant des saignem<strong>en</strong>ts m<strong>en</strong>struels excessifs. (II B)<br />
7. L’<strong>en</strong>domètre peut être éliminé par diverses techniques, mais<br />
l’ab<strong>la</strong>tion par « rollerball » <strong>en</strong>traîne un taux d’interv<strong>en</strong>tion<br />
répétée après cinq ans al<strong>la</strong>nt jusqu’à 40 pour c<strong>en</strong>t. Cette technique<br />
doit être réservée aux femmes qui ne sont plus <strong>en</strong> âge<br />
de procréer et qui sont consci<strong>en</strong>tes <strong>du</strong> risque de réapparition<br />
des saignem<strong>en</strong>ts. (I A)<br />
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