title: Insertion of mirena after endometrial resection in patients with adenomyosis.
abstract: OBJECTIVE
  To evaluate the efficacy of Mirena, a levonorgestrel-releasing intrauterine device, after endometrial resection for treatment of menorrhagia caused by adenomyosis.
  
  
  METHODS
  Open, randomized, observational study (Canadian Task Force classification II-2).
  
  
  METHODS
  Private hospital.
  
  
  METHODS
  Ninety-five women.
  
  
  METHODS
  Endometrial resection, after which control patients received no further treatment and study patients had Mirena inserted immediately after the procedure.
  
  
  RESULTS
  The rate of amenorrhea after 1 year was significantly higher in the Mirena group. Nineteen percent of women in the control group had a second procedure to control bleeding compared with none in the Mirena group.
  
  
  CONCLUSIONS
  Insertion of Mirena after endometrial resection is effective treatment for menorrhagia caused by adenomyosis and has very few adverse effects.
authors.affiliation: CEPARH, Rua Caetano Moura, 35, Salvador, Bahia, 4210-341 Brazil.
authors.forename: Hugo
authors.initials: H
authors.lastname: Maia
authors.forename: Amélia
authors.initials: A
authors.lastname: Maltez
authors.forename: Genevieve
authors.initials: G
authors.lastname: Coelho
authors.forename: Célia
authors.initials: C
authors.lastname: Athayde
authors.forename: Elsimar M
authors.initials: EM
authors.lastname: Coutinho
mesh_terms: D000328:Adult; D003276:Contraceptives, Oral / Q000627:therapeutic use*; D004715:Endometriosis / Q000188:drug therapy* / Q000601:surgery; D004717:Endometrium / Q000601:surgery*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007436:Intrauterine Devices, Medicated; D016912:Levonorgestrel / Q000627:therapeutic use*; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D003276:Contraceptives, Oral; D016912:Levonorgestrel