An evaluation of the simultaneous use of the levonorgestrel-releasing intrauterine device (LNG-IUS, Mirena®) combined with endometrial ablation in the management of menorrhagia.
Affiliation
Department of Gynaecology, Beaumont Hospital, Dublin, Ireland.Issue Date
2012-05
Metadata
Show full item recordCitation
An evaluation of the simultaneous use of the levonorgestrel-releasing intrauterine device (LNG-IUS, Mirena®) combined with endometrial ablation in the management of menorrhagia. 2012, 32 (4):372-4 J Obstet GynaecolJournal
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and GynaecologyDOI
10.3109/01443615.2012.666581PubMed ID
22519484Abstract
The objective of our study was to document the efficacy and possible complications in women who were treated for menorrhagia with the simultaneous use of endometrial ablation and the levonorgestrel-releasing intrauterine device. Women were offered this combined treatment if they complained of menorrhagia and needed contraception. A structured questionnaire was mailed to 150 women who had undergone this combined treatment; 105 (70%) returned a completed questionnaire. The mean duration of follow-up was 25 months (range 6-54 months). Following treatment, 53 women (50.5%) described their periods as being lighter than normal and 49 (46%) had become amenorrhoeic. Overall, 101 (96%) stated that they were satisfied with the treatment. Of the women, 95 (90.5%) said that the treatment had been a 'complete success'; eight (7.6%) 'partly successful' and two women (1.9%) said the treatment had been a 'failure'. One woman subsequently required a hysterectomy. This observational study supports the hypothesis that combined endometrial ablation and insertion of a levonorgestrel-releasing intrauterine device is an effective treatment for menorrhagia and has some advantages when compared with the individual use of these treatments.Item Type
ArticleLanguage
enISSN
1364-6893ae974a485f413a2113503eed53cd6c53
10.3109/01443615.2012.666581
Scopus Count
Collections
Related articles
- Synergistic effect on the treatment of menorrhagia by endometrial biopsy followed by contemporaneous insertion of the levonorgestrel intrauterine system.
- Authors: Baron YM, Craus J, Agius RC, Brincat M
- Issue date: 2012 Sep
- Treatment of menorrhagia with a novel 'frameless' intrauterine levonorgestrel-releasing drug delivery system: a pilot study.
- Authors: Wildemeersch D, Schacht E
- Issue date: 2001 Jun
- The efficacy of the levonorgestrel-releasing intrauterine system in perimenopausal women with menorrhagia or dysmenorrhea.
- Authors: Yoo HJ, Lee MA, Ko YB, Yang JB, Kang BH, Lee KH
- Issue date: 2012 Jan
- Treatment of menorrhagia associated with oral anticoagulation: efficacy and safety of the levonorgestrel releasing intrauterine device (Mirena coil).
- Authors: Pisoni CN, Cuadrado MJ, Khamashta MA, Hunt BJ
- Issue date: 2006
- Endometrial ablation or resection versus levonorgestrel intra-uterine system for the treatment of women with heavy menstrual bleeding and a normal uterine cavity: a systematic review with meta-analysis.
- Authors: Bergeron C, Laberge PY, Boutin A, Thériault MA, Valcourt F, Lemyre M, Maheux-Lacroix S
- Issue date: 2020 Feb 28