Publications by authors named "Jed B Cutler"
Purpose: Evaluate the efficacy of norethindrone acetate in the resolution of symptoms and regression of recurrent endometrioma.
Patients And Methods: Retrospective chart review at SUNY Downstate Medical Center of patients with a history of surgical excision of endometrioma (with histological confirmation) and recurrent endometrioma (demonstrated by strict sonographic criterion of endometrioma) who were willing to undergo follow-up. Patients were prescribed norethindrone acetate to be taken daily with follow-up sonograms until cysts regressed.
Article Synopsis
- The study aimed to manage dysfunctional uterine bleeding (DUB) by grouping patients based on their endometrial thickness and applying different treatments.
- A retrospective review of 49 patients showed significant reductions in bleeding days after treatment: combined OCPs dropped bleeding from 46 to 8 days, estrogen plus progesterone from 41 to 9 days, and megestrol from 54 to 3 days.
- The findings suggest that treatment based on endometrial thickness is effective, although 52% of those treated with megestrol had endometrial hyperplasia, indicating a need for further monitoring.