Publications by authors named "Dick Bogchelman"

Objective: The purpose of this study was to assess the prevalence of underlying bleeding disorders in women with heavy menstrual bleeding (HMB) with and without gynecologic abnormalities.

Study Design: We performed a single-center prospective cohort study of 112 consecutive patients who were referred for heavy menstrual bleeding. Control subjects were 28 healthy volunteers who reported no HMB.

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Article Synopsis
  • The study explored the management of unexplained menorrhagia and the role of bleeding disorders, focusing on how often these evaluations occur in gynecological practice.
  • In a review of 112 patients at a Dutch clinic, 63% had unexplained cases, with most not receiving proper haemostatic testing.
  • Although many patients were satisfied with the treatment, a significant number underwent hysterectomies, indicating a need for better identification and management of underlying bleeding disorders.
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Objective: To optimize referral to specialized gynaecologists for surgical treatment of ovarian cancer by improving preoperative discrimination between benign and malignant pelvic tumours.

Study Design: In a prospective multicentre study 143 patients with a pelvic mass were included. At several occasions during the diagnostic work-up the gynaecologist estimated the chance of malignancy (educated guess/expert opinion).

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Objectives: To investigate the effect of a single low dose of mifepristone on ovarian function, when administered in the preovulatory period.

Methods: Healthy women with regular menstrual cycles were studied during two consecutive menstrual cycles. Either mifepristone or placebo was given in a randomized double-blind order when the leading follicle reached a diameter between 15 and 17 mm.

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