The New Indian Journal of OBGYN. 11(2):248-252

Efficiency of levonorgestrel intrauterine device in the management of abnormal uterine bleeding

Ranjita Banavath, Ashwini Veeresh, Swathi Bhat, Prashanth Shivappa, Manjula B, Lepakshi Basappa Gurusiddappa

ABSTRACT

Background: Abnormal uterine bleeding (AUB) is one of the common gynecological problems in women and this interferes with women’s emotional, physical, and quality of life. Nowadays, the levonorgestrel releasing intrauterine system (LNG-IUS) a hormone releasing intrauterine device (IUD) is used to treat AUB. Aim and objectives: To determine the efficacy of LNG-IUS/Mirena in women with AUB in our study population. Materials and methods: This study was conducted at our tertiary care hospital. We recruited 50 patients between the age group 30–50 years who visited the gynaecology and obstetrics outpatient department due to abnormal uterine bleeding. Levonorgestrel-IUD was inserted post-menstrual in the operation room under IV sedation. These women were called for a follow-up at 1 month, 3 months, 6 months, and 1 year, and asked regarding relief from abnormal menstrual bleeding. Results: In our study, the mean age of cases was found to be 41.36 ± 4.38 years. During a visit to our hospital, 82.2% of cases had HMB complications along with dysmenorrhea, PMB, and IMB. After the insertion of the IUD, the bleeding complication reduced after 1, 3, and 6 months. After the one year majority of cases were free from bleeding complications and few only had acute bleeding complications. The rate of hysterectomy was observed in 6.7% of the cases. Conclusion: LNG-IUS is the first choice of treatment due to its highly effective, safe, and low cost. It is the best alternative therapy to reduce blood loss and improve the quality of women's life with AUB compared to a hysterectomy.