Gynaecological investigations, which included vaginal/abdominal ultrasound scans, hysteroscopy and endometrial biopsy, were performed in the luteal phase to rule out endometrial lesions and confirm normal ovulation. Patients who did not have ovulatory cycles were excluded from the study. In addition, a cervical smear test was done to exclude any organic causes of heavy menstrual bleeding. Patients with any of the exclusion criteria were referred for further evaluation and appropriate treatment. Women aged 20 - 45 years, who complained of regular heavy menstrual bleeding and met the inclusion criteria, were recruited.
Gynaecological investigations, which included vaginal/abdominal ultrasound scans, hysteroscopy and endometrial biopsy, were performed in the luteal phase to rule out endometrial lesions and confirm normal ovulation. Patients who did not have ovulatory cycles were excluded from the study. In addition, a cervical smear test was done to exclude any organic causes of heavy menstrual bleeding. Patients with any of the exclusion criteria were referred for further evaluation and appropriate treatment. Women aged 20 - 45 years, who complained of regular heavy menstrual bleeding and met the inclusion criteria, were recruited.
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