Menorrhagia and the Levonorgestrel Intrauterine System
نویسنده
چکیده
Only half of the women who present to clinicians with heavy menstrual loss have objective menorrhagia. However, it is the main reason for women requesting hysterectomy and 1 in 5 women have a hysterectomy in the United Kingdom for this reason by the age of fifty five. At histopathology, a vast majority of these uteri are found to be benign. With less invasive and effective alternatives to hysterectomy, women should be carefully counselled with regards to morbidity and mortality associated with this major operation.
منابع مشابه
Review of the safety, efficacy and patient acceptability of the levonorgestrel-releasing intrauterine system
The levonorgestrel-containing intrauterine system is an extremely effective, reversible and safe form of long-term yet reversible birth control. In view of its efficacy, it is a safer alternative to permanent contraceptive methods such as sterilization. It is especially useful in situations where use of estrogen-containing contraceptives is contraindicated. While menstrual disturbances are a co...
متن کاملNon-contraceptive applications of the levonorgestrel intrauterine system
Intrauterine progestins have many important current and potential gynecologic applications. This article describes the evidence for use of intrauterine progestin for common gynecologic conditions beyond its important role in contraception. The pharmacology of and selection criteria for use of the levonorgestrel intrauterine device is discussed, and the evidence for use of intrauterine progestin...
متن کاملUltrasound Location of Misplaced Levonorgestrel Releasing Intrauterine System (LNG-IUS) - is it easy?
The Levonorgestrel intrauterine device (LNG-IUD) is a hormone-containing device licensed for treatment of menorrhagia and contraception. Though complications such as perforation have been reported similar to other non-hormonal intrauterine devices, the diagnosis of such complications is difficult with this device because the LNG-IUD has a different ultrasound appearance compared to copper devic...
متن کاملCancer risk in women using the levonorgestrel-releasing intrauterine system in Finland.
OBJECTIVE To examine the association between premenopausal use of the levonorgestrel-releasing intrauterine system and cancer incidence in Finland with a special focus on endometrial adenocarcinoma. METHODS All Finnish women aged 30-49 years using a levonorgestrel-releasing intrauterine system for treatment of menorrhagia in 1994-2007 (n=93,843) were identified from the National Reimbursement...
متن کاملExacerbation of Crohn's disease after insertion of a levonorgestrel intrauterine system: a case report.
The case report describes a relapse of Crohn's disease in a woman soon after the fitting of a levonorgestrel intrauterine system (IUS). Whilst the published evidence on the effects of levonorgestrel IUS in patients with pre-existing inflammatory bowel disease is limited, reports to date suggest that caution should be exercised when considering fitting an IUS in such women, even if there appears...
متن کاملOpen randomised study of use of levonorgestrel releasing intrauterine system as alternative to hysterectomy.
OBJECTIVES To assess whether the levonorgestrel intrauterine system could provide a conservative alternative to hysterectomy in the treatment of excessive uterine bleeding. DESIGN Open randomised multicentre study with two parallel groups: a levonorgestrel intrauterine system group and a control group. SETTING Gynaecology departments of three hospitals in Finland. SUBJECTS Fifty six women...
متن کامل