title: Comparison of levonorgestrel-releasing intrauterine device with oral progestins in heavy menstrual bleeding (HMB) cases with uterine leiomyoma (LNG-IUD and oral progestin usage in myoma uteri).
abstract: OBJECTIVE
  To compare the effectiveness and acceptability of LNG-IUD with oral progesterone (norethisterone acetate; NETA) in achieving a reduction in volume of the myomas, hemoglobin levels, satisfaction of the women.
  
  
  METHODS
  This study includes randomized 30 women treated by LNG-IUD and randomized 30 women treated by oral norethisterone (NETA). All these participants in the study have received medical treatment and had been registered as patients in Istanbul Medeniyet University Göztepe Education and Research Hospital. Leiomyoma volumes and hemoglobin levels have been determined. In the third and sixth months, these measurements have been done again. We examined the adverse effects and the treatment continuity. For the statistical analysis of the findings NCSS [Number Cruncher Statistical System] 2007 & PASS 2008 program; student t, Mann Whitney U, Paired Samples t, Wilcoxon Signed Ranks, Ki-Kare, Fisher's Exact Ki-Kare tests have been used.
  
  
  RESULTS
  After six months treatment, the reduction of bleeding determined by Visual Bleeding Score (VBS) in LNG-IUD group is 80% and in oral norethisteron group is 56%; in both groups leiomyoma volumes and hemoglobin levels were significantly high.
  
  
  CONCLUSIONS
  LNG-IUD is a good alternative treatment to the oral progesterone in long term minimizing the hysterectomy for myoma uteri because of the good patient tolerance and easy usage.
authors.affiliation: Dr. Ayse Kavasoglu Tosun, Gynecology and Obstetrics, Department Istanbul Medeniyet University, Goztepe Education and Research Hospital, Istanbul, Turkey.
authors.forename: Ayse Kavasoglu
authors.initials: AK
authors.lastname: Tosun
authors.affiliation: Dr. Ismet Tosun, Gynecology and Obstetrics Department, Umraniye Education and Research Hospital, Istanbul, Turkey.
authors.forename: Ismet
authors.initials: I
authors.lastname: Tosun
authors.affiliation: Associate Professor Dr. Necdet Suer, Gynecology and Obstetrics, Department Istanbul Medeniyet University, Goztepe Education and Research Hospital, Istanbul, Turkey.
authors.forename: Necdet
authors.initials: N
authors.lastname: Suer
keywords: Anemia; Heavy Menstrual Bleeding (HMB); LNG-IUD; Leiomyoma; Oral progesterone
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