Can the levonorgestrel intrauterine system replace surgical treatment for the management of menorrhagia?

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Abstract:

Menorrhagia is a common gynaecological condition for which medical treatment is often ineffective and a large number of women undergo major surgery. Previous short term studies have shown a significant number of women with menstrual problems may avoid surgery if a levonorgestrel intrauterine system (LNG-IUS) is fitted but no long term studies exist to ascertain if this benefit is sustained. This four to five year long term follow up study showed 50% of women continued to use the device and 67.4% avoided surgery. The LNG-IUS is well accepted and effective in the management of menorrhagia and has major cost implications to the National Health Service.

Document Type: Short Communication

DOI: http://dx.doi.org/10.1111/j.1471-0528.2002.01274.x

Affiliations: 1: Department of Obstetrics and Gynaecology, Princess of Wales Hospital, Bridgend Glamorgan, UK 2: Department of Obstetrics and Gynaecology, Torbay Hospital, Torquay, UK

Publication date: March 1, 2002

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