MEVA-1: Protocol for the Determination of Menstrual Losses in Healthy Women With Apparently Normal Cycles
Study Details
Study Description
Brief Summary
Multicenter, observational, cross-over study intended to apply an easy and simple system for the quantitative determination of menstrual losses in women with apparently normal menses.The system adopted for the determination of menstrual losses, called QUEM (QUantitative Evaluation of Menses), is based on the collection of tampons and pads in standard bags which are readily vacuum sealed with a simple device for the whole of woman's period. The evaluation will be performed for the whole of one period and the analysis will be performed in comparison to the classical reference method, the Alkaline - Hematin Method, which is still considered the golden standard.
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Detailed Description
The following is a multicenter, observational, cross-over study intended to apply an easy and simple system for the quantitative determination of menstrual losses in women with apparently normal menses. The problem of heavy periods is associated to an high social and physical morbidity rate; till now there are not routine methods available for the quantitative determination of menstrual discharge, some objective methods have been applied exclusively for research purposes because they are very difficult to perform. If we consider the scientific data available and the frequent application of inadequate procedures for the treatment of this problem, it seems essential to apply a practical system for the accurate quantitative determination of menses.
The system adopted for the determination of menstrual losses, called QUEM (QUantitative Evaluation of Menses), is based on the collection of tampons and pads in standard bags which are readily vacuum sealed with a simple device for the whole of woman's period. QUEM has already been validated in preliminary in vitro and ex vivo studies (both in healthy women and in women with CBDs), by comparing it with the gold standard, the Alkaline Haematin Method. A correlation coefficient close to 1 was obtained.
In the current study QUEM will be applied to at least 100 women in the fertile age (between 20 and 45 years) with apparently normal menses and a negative bleeding history. The evaluation will be performed for the whole of one period and the analysis will be performed in comparison to the classical reference method, the Alkaline - Hematin Method, which is still considered the golden standard. At the enrollment each woman will be tested for complete blood cells count and ferritin levels in order to exclude unknown menorrhagia. The bleeding history (bleeding score) will be performed by applying an international reference method, already validated for von Willebrand Disease type 1 (vWD1). The aim of the study is to make a "normal range" and validate the effective practicality of QUEM as a preliminary step to the clinical studies in patients suffering from menorrhagia and affected by hemorrhagic disorders.
The current study will involve many Italian and International Centers. All the needed materials and equipments will be provided by the Coordinator Centre; patients will be carefully informed about the objectives of the study and they will follow a short course illustrating the use and the characteristics of the method proposed (QUEM).
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| 1. Women in the fertile age Healthy women in the fertile age (between 20-45 years) with apparently normal periods |
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
Inclusion Criteria:
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Women in the fertile age (between 20-45 years), not assuming oral contraceptives from at least three months
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Referred normal menses .Use of the same brand of sanitary protection wear for the whole of the period.
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BMI between 18 and 30
Exclusion Criteria:
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Abnormal Bleeding Score
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Positive gynecological history of fibroids, polyps or malignancy
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Treatment with anti-coagulants, antifibrinolytics, non steroidal anti-inflammatory agents
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Use of oral contraceptives in past three months
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Use of intrauterine devices (IUDs) in past three months .Hgb levels <12 g/dl and Ferritin <25 ng/ml.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University of L'Aquila | L'aquila | Italy | 67100 | |
| 2 | University of Palermo | Palermo | Italy | 90127 | |
| 3 | Casa Sollievo Della Sofferenza Irccs | San Giovanni Rotondo | Italy | 71013 |
Sponsors and Collaborators
- University of L'Aquila
- Casa Sollievo della Sofferenza IRCCS
- University of Palermo
Investigators
- Principal Investigator: mariasanta napolitano, md, univeristy of perugia, hospital of l'aquila
- Study Director: guglielmo mariani, md, University of L'Aquila
Study Documents (Full-Text)
None provided.More Information
Additional Information:
- The official site of Italian Society of Obstetrics and Gynecology
- Official site of the American Society of Obstetrics and Gynecology for women's healthcare physicians
Publications
None provided.- MEVA-1/2007