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Levonorgestrel‐releasing intrauterine system vs. transcervical endometrial resection for dysfunctional uterine bleeding
Author(s) -
Gupta B.,
Mittal S.,
Misra R.,
Deka D.,
Dadhwal V.
Publication year - 2006
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2006.07.004
Subject(s) - medicine , levonorgestrel , dysfunctional uterine bleeding , adverse effect , intrauterine device , blood loss , menstruation , patient satisfaction , obstetrics , amenorrhea , surgery , gynecology , family planning , endometrium , population , pregnancy , research methodology , environmental health , biology , genetics
Objective : To compare the acceptability, efficacy, adverse effects, and user satisfaction of a levonorgestrel intrauterine system (LNG‐IUS) and transcervical resection of the endometrium (TCRE) for the treatment of dysfunctional uterine bleeding. Method : Of 50 women with a pictoral blood loss assessment chart (PBAC) score of 100 or greater, 25 had a LNG‐IUS inserted (Mirena; Schering, Berlin, Germany) and 25 underwent TCRE. Procedure‐related complications, PBAC score, hemoglobin levels, adverse effects, and rates of acceptability and satisfaction were recorded at 3‐month intervals for a period of 12 months. Results : At the end of 1 year there were a 97% and a 94% reduction in menstrual blood loss in the LNG‐IUS and TCRE groups, respectively, and hemoglobin concentration had increased by 5.5% in the LNG‐IUS group and 5.2% in the TCRE group. Adverse effects were similar in both groups except for systemic effects, which were seen only in the LNG‐IUS group. Satisfaction rates were about 80% in the 2 groups. Conclusion : Both treatments were found to be equally effective but LNG‐IUS placement requires less operator skill and entails no operative hazards, and the device provides effective contraception.