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ORLANDO, FLA. -- Pretreatment with goserelin acetate improves long-term outcomes in patients undergoing endometrial ablation for dysfunctional uterine bleeding, a recent study found.
The 358 premenopausal patients in the study were treated with either placebo or 3.6 mg of depot goserelin acetate (Zoladex). Two injections were given 28 days apart. The procedure was performed about 6 weeks after the first injection, Dr. George A. Vilos reported at the annual meeting of the American Association of Gynecologic Laparoscopists.
Amenorrhea rates at a 6-month follow up were 40% in the goserelin acetate group and 26% in the placebo group. At 1 year, the rates were 35% and 22%; at 3 years, they dropped to 21% in the goserelin acetate group and 14% in the placebo group.
"There was a reduction in the amenorrhea rate in both groups, but it appears Zoladex is still holding. It fares a little better [than placebo]," said Dr. Vilos of the ...