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Creatine kinase, platelet aggregation, and bleeding risk in women with uterine leiomyomas

Completed
Conditions
heavy menstrual bleeding
10035534
10038595
menorrhagia
Registration Number
NL-OMON43648
Lead Sponsor
Academisch Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
32
Inclusion Criteria

Main study:
20 premenopausal women aged 18-50 years, visiting the gynaecology outpatient clinic with uterine leiomyomas and heavy menstrual bleeding, and women without leiomyomas and normal menstrual bleeding, forming the control group. ;Pilot study:
12 premenopausal female volunteers, 18-50 years:
a. 8 women with heavy menstrual blood loss;
- without treatment for the menstrual blood loss (n=2)
- with plasmin inhibitor treatment for the menstrual blood loss (n=2)
- with DOAC-induced heavy menstrual blood loss (n=2)
- with VKA-induced heavy menstrual blood loss (n=2);
b. 2 women normal menstrual blood loss;
c. 2 women postpartum.

Exclusion Criteria

Main study:
Smoking, usage of NSAID, antiplatelet drugs and anticoagulants, hormone therapy or hormone supplements in 4 weeks prior to participation. Usage of CK-increasing drugs, such as statins, in the three months prior to participation. Glucose, lipid spectrum, thyroid, kidney or liver abnormalities, no history of secondary hypertension, (history of) cardiovascular disease including TIA and stroke; neuromuscular or endocrine disorders; vasculitis; HIV infection; malignancies; infectious hepatitis, bleeding disorders (other than heavy menstrual bleeding). ;Pilot study:
Usage of CK-increasing drugs, such as statins, in the three months prior to participation. Glucose, lipid spectrum, thyroid, kidney or liver abnormalities, neuromuscular or endocrine disorders; HIV infection; infectious hepatitis, bleeding disorders (other than heavy menstrual bleeding).

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The association between plasma CK activity, ADP-dependent platelet aggregation,<br /><br>and bleeding severity in women with uterine leiomyomas.<br /><br><br /><br>Pilot study parameters/endpoints:<br /><br>Firstly, the feasibility and optimal strategy of CK and AK activity measurement<br /><br>menstrual and postpartum vaginal blood). Secondly, to assess the relation<br /><br>between vaginally lossed blood CK/AK activity, venous plasma CK/AK activity and<br /><br>bleeding severity. Thirdly, the concentration of DOAC and VKA in menstrual<br /><br>blood.</p><br>
Secondary Outcome Measures
NameTimeMethod
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