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

Autor: Nagrani R; Department of Obstetrics and Gynaecology, Singleton Hospital, Swansea, UK., Bowen-Simpkins P, Barrington JW
Jazyk: angličtina
Zdroj: BJOG : an international journal of obstetrics and gynaecology [BJOG] 2002 Mar; Vol. 109 (3), pp. 345-7.
DOI: 10.1111/j.1471-0528.2002.01274.x
Abstrakt: 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.
Databáze: MEDLINE