Levonorgestrel-releasing intrauterine system or hysterectomy in the treatment of essential menorrhagia: predictors of outcome.
Levonorgestrel-releasing intrauterine system (LNG-IUS) has been advocated as an effective alternative to hysterectomy in the treatment of menorrhagia. The outcome predictors have been poorly known. In this study the amount of menstrual blood loss (MBL) turned out to be the single most important outcome predictor of these treatments. However, the treatment with LNG-IUS seemed to be an appropriate alternative to hysterectomy for all women who perceived their MBL heavy.
Hurskainen
Ritva
R
Departments of Obstetrics and Gynecology, University Hospitals of Helsinki, Finland. ritva.hurskainen@hus.fi
Teperi
Juha
J
Aalto
Anna-Mari
AM
Grenman
Seija
S
Kivelä
Aarre
A
Kujansuu
Erkki
E
Vuorma
Sirkku
S
Yliskoski
Merja
M
Rissanen
Pekka
P
Paavonen
Jorma
J
D000328:Adult; D001810:Blood Volume; D003271:Contraceptive Agents, Female / Q000008:administration & dosage*; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D007044:Hysterectomy; D007436:Intrauterine Devices, Medicated; D016912:Levonorgestrel / Q000008:administration & dosage*; D008595:Menorrhagia / Q000188:drug therapy* / Q000523:psychology / Q000601:surgery*; D008875:Middle Aged; D011237:Predictive Value of Tests; D011788:Quality of Life / Q000523:psychology; D016896:Treatment Outcome
D003271:Contraceptive Agents, Female; D016912:Levonorgestrel