title: Levonorgestrel-releasing intrauterine system for menstrual dysfunction: patient satisfaction in the district general hospital setting.
abstract: Over a 3-year period, 102 women had a levonorgestrel-releasing intrauterine system (LNG-IUS) inserted for menstrual dysfunction at the gynaecology clinics of a small district general hospital. A retrospective observation study was carried out to review the use of the levonorgestrel-releasing intrauterine system for menstrual dysfunction and patient satisfaction with the device. Sixty-six women felt their periods improved after insertion of the LNG-IUS. Thirty-one had the device removed prematurely, the most common indication being excessive bleeding. Nineteen underwent hysterectomy. Twenty-one experienced hormonal side effects. Fifty-seven of the 102 women were satisfied with the LNG-IUS and 53 would use it again. The continuation and satisfaction rates with the LNG-IUS at the hospital compare favourably with those found in research trials.
authors.affiliation: Department of Obstetrics and Gynaecology, New Royal Infirmary of Edinburgh, Scotland, UK.
authors.forename: Jane L
authors.initials: JL
authors.lastname: Macnab
authors.forename: I E
authors.initials: IE
authors.lastname: Lowles
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006767:Hospitals, District; D006769:Hospitals, General; D006801:Humans; D007436:Intrauterine Devices, Medicated; D016912:Levonorgestrel / Q000008:administration & dosage*; D008485:Medical Audit; D008499:Medical Records; D008599:Menstruation Disturbances / Q000188:drug therapy*; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012606:Scotland; D011795:Surveys and Questionnaires
chemical_list: D016912:Levonorgestrel