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.
Departments of Obstetrics and Gynecology, University Hospitals of Helsinki, Finland. ritva.hurskainen@hus.fi
Ritva
R
Hurskainen
Juha
J
Teperi
Anna-Mari
AM
Aalto
Seija
S
Grenman
Aarre
A
Kivelä
Erkki
E
Kujansuu
Sirkku
S
Vuorma
Merja
M
Yliskoski
Pekka
P
Rissanen
Jorma
J
Paavonen
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