Insertion of mirena after endometrial resection in patients with adenomyosis.
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.
Maia
Hugo
H
CEPARH, Rua Caetano Moura, 35, Salvador, Bahia, 4210-341 Brazil.
Maltez
Amélia
A
Coelho
Genevieve
G
Athayde
Célia
C
Coutinho
Elsimar M
EM
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
D003276:Contraceptives, Oral; D016912:Levonorgestrel