Patient satisfaction for levonorgestrel intrauterine system and norethisterone for treatment of dysfunctional uterine bleeding

ABSTRACT

Dysfunctional uterine bleeding [DUB] is a common problem with complex management. It can be quite harrowing for the physicians as in most instances they are unable to pinpoint the cause of abnormal bleeding even after a thorough history and physical examination. Aim was to compare patient satisfaction for Levonorgestrel intra uterine system [LNG-IUS] and Norethisterone for the treatment of Dysfunctional Uterine Bleeding [DUB]. It is Descriptive case series conducted in Department Obstetrics and Gynaecology, Shifa International Hospital, Islamabad from September, 2011 to September, 2012. One hundred and nineteen [119] female patients of reproductive age Group with DUB were selected by consecutive sampling. Informed written consent was obtained. A structural patient satisfaction questionnaire [PSQ] was used to collect information regarding age of patients, type of method used for treatment of DUB [Levonorgestrel or Norethisterone], treatment outcome in terms of patient satisfaction scale, and decrease in bleeding after 6 months. The mean age of the patients was 41.03 +/- 4.415 year ranging from 28-60 years. The mean parity of women in the study was 3.22 +/- 1.188 with a range of 1-7. The satisfaction level was significantly [p<0.05] greater [90% versus 20%] in Group A [levonorgesterol-releasing intrauterine system] as compared with Group B [Norethisterone]. The blood loss was significantly [p<0.05] decreased in Group A [98%] as compared with Group B [80%]. The preference of continuing the method as well as recommendation to a friend was significantly greater in Group A as compared to Group B. The levonorgesterol-releasing intrauterine system [LNG-IUS] is a better choice as compared to Norethisterone, for treatment of DUB with 90% patients highly satisfied.