Can the levonorgestrel intrauterine system replace surgical treatment for the management of menorrhagia?
Menorrhagia is a common gynaecological condition for which medical treatment is often ineffective and a large number of women undergo major surgery. Previous short term studies have shown a significant number of women with menstrual problems may avoid surgery if a levonorgestrel intrauterine system (LNG-IUS) is fitted but no long term studies exist to ascertain if this benefit is sustained. This four to five year long term follow up study showed 50% of women continued to use the device and 67.4% avoided surgery. The LNG-IUS is well accepted and effective in the management of menorrhagia and has major cost implications to the National Health Service.
Nagrani
Rani
R
Department of Obstetrics and Gynaecology, Singleton Hospital, Swansea, UK.
Bowen-Simpkins
Peter
P
Barrington
Julian W
JW
D005260:Female; D006801:Humans; D007436:Intrauterine Devices, Medicated; D016912:Levonorgestrel / Q000008:administration & dosage*; D008595:Menorrhagia / Q000188:drug therapy* / Q000601:surgery; D017060:Patient Satisfaction; D045167:Progesterone Congeners / Q000008:administration & dosage*; D016896:Treatment Outcome
D045167:Progesterone Congeners; D016912:Levonorgestrel