A PROSPECTIVE STUDY OF LEVONORGESTREL INTRAUTERINE SYSTEM FOR CONSERVATIVE MANAGEMENT OF AUB; EXPERIENCE IN A TERTIARY CARE HOSPITAL

Abstract

Background: AUB is a common problem in the reproductive age group. In India prevalence is 17.9%. AUB patterns include menorrhagia, metrorrhagia, polymenorrhea, dysfunctional uterine bleeding and heavy menstrual bleeding. Excessive menstruation is often incapacitating and can severely affect woman’s quality of life both personal as well as social. Objectives: The objective of this study is to observe the efficacy of Levonorgestrel Intrauterian system (Mirena) in AUB patients. Methods: The study was conducted at a teritary care hospital over a period of 12 months. 25 women between the age of 30 and 45 years with AUB were included in the study. Pre and Post insertion patients were asked to maintain a PBAC and were followed after 1 month, 3 months and 6 months post insertion. Results: LNG-IUS was found to be effective in 23 out of 25 patients suffering from AUB. Relief in dysmenorrhoea was seen in 78.27 %, amenorrhoea was seen in 13% and irregular spotting was seen in 21.73% at the end of 6 months.Conclusion: LNG-IUS is a safe, effective acceptable mode of treatment for women with AUB. It can be a good alternative to hysterectomy for heavy menstrual bleeding dueto many beningn etiologies.