Efficacy of lng-ius in menorrhagia

ABSTRACT

To determine the therapeutic efficacy of levonorgestrel releasing intra uterine system in achieving a reduction in heavy menstrual bleeding in patients of idiopathic menorrhagia. Quasi experimental study. At out patient department of Gynecology and Obstetrics, Military Hospital Rawalpindi, from October 2005 to June 2008. Fifty patients who fit in the inclusion criteria were recruited by purposive non probability convenience technique. Insertion of LNG-IUS was done on the fifth day of the menstrual cycle. Menstrual blood loss and Hb level was assessed before the insertion and at three monthly intervals after the insertion for one year for the evaluation of the efficacy of the treatment and recorded on a Performa. Amount of menstrual blood loss was estimated subjectively as mild, moderate and severe. Hb level was measured at intervals. Menstrual blood loss and change in Hb levels before and after insertion were analyzed by the 'Chi-square test' using SPSS version 10.0. The results of this study showed a significant improvement in the amount of menstrual blood loss and a subsequent rise in the Hb levels after insertion of LNG-IUS in the patients of idiopathic menorrhagia. The LNG-IUS reduced bleeding in women with menorrhagia due to benign causes. The patient acceptance and satisfaction is high. It has the potential to replace hysterectomy as treatment of choice in selected patients