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Difficulty in Recruitment
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| Name | Class |
|---|---|
| University of Saskatchewan | OTHER |
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The objective of this study is to assess the efficacy of an implantable etonogestrel device in reducing hysterectomy rate in patients with a failed endometrial ablation.
The researchers aim to determine whether use of etonogestrel implant in patients with failed endometrial ablation significantly decreases hysterectomy rate. Changes in pelvic pain and vaginal bleeding will be assessed. Time to hysterectomy will be examined.
The researchers hypothesize that treatment of failed endometrial ablation with etonogestrel implant will decrease pelvic pain and vaginal bleeding resulting in a significantly decreased need for hysterectomy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Etonogestrel implant | Experimental | The participants will receive an etonogestrel 68mg implant |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Etonogestrel 68mg implant | Drug | Implant will be inserted |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hysterectomy | occurrence of hysterectomy | Occurrence of hysterectomy will be documented any time during the 3 year follow up period |
| Measure | Description | Time Frame |
|---|---|---|
| Vaginal bleeding | Pictorial Blood Loss Assessment Chart (PBAC) score, minimum score = 0mL, maximum score = n/a, higher score indicates higher menstrual blood loss | PBAC score will be documented at baseline and 3, 6, 12, 18, 24, 30, and 36 months |
| Pelvic Pain |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sarah N Smith, MD | Obstetrician Gynecologist | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saskatchewan Health Authority | Regina | Saskatchewan | Canada |
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| ID | Term |
|---|---|
| D008796 | Metrorrhagia |
| D004412 | Dysmenorrhea |
| D010146 | Pain |
| ID | Term |
|---|---|
| D014592 | Uterine Hemorrhage |
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
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| ID | Term |
|---|---|
| C044815 | etonogestrel |
| D004343 | Drug Implants |
| D016254 | Mutagenesis, Insertional |
| ID | Term |
|---|---|
| D003692 | Delayed-Action Preparations |
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |
| D015202 | Protein Engineering |
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| Etonogestrel 68mg implant | Device | Implant will be inserted |
|
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Assessment of pelvic pain using Visual Analogue Scale (VAS), minimum score = 0, maximum score = 10, higher score indicates more pain |
| VAS will be documented at baseline and 3, 6, 12, 18, 24, 30, and 36 months |
| Time to Hysterectomy | Time from booking of hysterectomy to actual hysterectomy will be documented | Time of hysterectomy will be documented any time during the 3 year follow up period |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D008599 | Menstruation Disturbances |
| D017699 | Pelvic Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D005818 | Genetic Engineering |
| D005821 | Genetic Techniques |
| D008919 | Investigative Techniques |
| D009154 | Mutation |
| D014644 | Genetic Variation |
| D055614 | Genetic Phenomena |
| D016296 | Mutagenesis |