Two for the price of one.
This case is about an HIV seropositive young woman referred for the treatment of severe menorrhagia causing anaemia due to adenomyosis where the levonorgestrel-releasing intrauterine system (Mirena) proved useful in treating her heavy periods and also provided effective contraception without interference from the liver enzyme-inducing effects of antiretroviral medications.
Samuel
M I
MI
Department of Sexual Health and HIV, Caldecot Centre, King's College Hospital NHS Foundation Trust, London SE5 9RS, UK. ittysamuel@hotmail.co.uk
Tenant-Flowers
M
M
Kumar
U
U
Taylor
C
C
D000328:Adult; D000740:Anemia / Q000209:etiology; D019380:Anti-HIV Agents / Q000008:administration & dosage / Q000627:therapeutic use; D003271:Contraceptive Agents, Female / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D004715:Endometriosis / Q000150:complications / Q000188:drug therapy; D005260:Female; D006679:HIV Seropositivity / Q000150:complications / Q000188:drug therapy; D006801:Humans; D007436:Intrauterine Devices, Medicated / Q000706:statistics & numerical data*; D016912:Levonorgestrel / Q000008:administration & dosage / Q000627:therapeutic use*; D008595:Menorrhagia / Q000188:drug therapy / Q000209:etiology; D019829:Nevirapine / Q000008:administration & dosage / Q000627:therapeutic use; D018894:Reverse Transcriptase Inhibitors / Q000008:administration & dosage / Q000627:therapeutic use; D016896:Treatment Outcome
D019380:Anti-HIV Agents; D003271:Contraceptive Agents, Female; D018894:Reverse Transcriptase Inhibitors; D016912:Levonorgestrel; D019829:Nevirapine