The use of the progestin Visanne before a uterine surgery is to thin the uterine lining, making the procedure easier for the surgeon to see inside the uterus. A bio-identical progesterone like Prometrium may not offer any additional benefits for such a short period. Some doctors may even prescribe a combination of progestin and estrogen. For patients who cannot take hormones, surgery can be scheduled during a specific phase of the menstrual cycle to avoid hormone use.
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