50 Chapter 2 Table 3: Influence of treatment for heavy menstrual bleeding on health-related quality of life. Chi et al. (2010)29 Huq et al. (2012)30 Before treatment* (n=24) After treatment* (n=24) Before treatment* (n=12) After treatment* (n=12) General Health Poor 16 (67%) 1 (4%) 8 (67%) 0 (0%) Fair 5 (21%) 4 (17%) 1 (8%) 1 (8%) Good 2 (8%) 7 (29%) 2 (17%) 3 (25%) Very good 1 (4%) 10 (42%) 1 (8%) 0 (0%) Excellent 0 (0%) 2 (8%) 0 (0%) 8 (67%) Health and daily activity score [median (range)] A† 10 (3-17) 2 (0-15) 15 (10-20) 0 (0-0) B‡ 4 (2-4) 2 (0-4) 3.5 (1-4) 0 (0-0) Dysmenorrhea None 0 (0%) 3 (13%) 2 (17%) 10 (83%) Very mild 0 (0%) 12 (50%) 1 (8%) 1 (8%) Mild 3 (13%) 5 (21%) 0 (0%) 0 (0%) Moderate 5 (21%) 3 (13%) 2 (17%) 0 (0%) Severe 11 (46%) 1 (4%) 3 (25%) 1 (8%) Very severe 5 (21%) 0 (0%) 4 (33%) 0 (0%) Interference of dysmenorrhea with daily work Not at all 0 (0%) 7 (29%) 2 (17%) 11 (92%) A little bit 0 (0%) 10 (42%) 3 (25%) 0 (0%) Moderately 3 (13%) 5 (21%) 1 (8%) 1 (8%) Quite a bit 13 (54%) 2 (8%) 2 (17%) 0 (0%) Extremely 8 (33%) 0 (0%) 4 (33%) 0 (0%) QoL score Median (range) 26 (15-43) 44 (24-54) 17 (10-27) 54 (52-56) * Comparison in all categories between pre- and post-treatment were statistically significant (P < 0.01). † Health and daily activity score A includes a list of 10 activities varying in intensities, for example, running, climbing flights of stairs, lifting or carrying groceries and walking, each scored 2 (menstruation limited the activity a lot), 1 (a little), 0 (not at all). ‡ Health and daily activity score B includes four questions on whether they had to cut down on the amount of activity, accomplished less, felt limited or had difficulties in performing work during menstruation. A score of 0-4 was assigned depending on the number of positive responses. Abbreviation: QoL, Quality of Life.
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