Efficacy And Complications of Levonorgestrel Intrauterine System in Heavy Menstrual Bleeding
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Aim of study:To study the efficacy and complications of Levonorgestrel intrauterine system (LNG IUS) in heavy menstrual bleeding. The study was a prospective study conducted at Government general Hospital Vijayawada. Material &Methods : Study design :- Prospective study .The study was conducted in Government general Hospital Vijayawada .Patients recruited for study were selected from the O.P patients .Total 35 patients were recruited for the present study . Study period is from November 2016 to November 2017 .Eligible women were below 45 years with at least one child ,and chief complaint for all women being heavy menstrual bleeding with pictorial menstrual blood loss assessment chart score of above 100.All patients had initial screening with blood tests ,ultrasound scan , and premenstrual dilatation and curettage in 1st visit. Levonorgestrel intrauterine system was inserted in 2 nd visit in O.T after 1 day admission .All patients recruited were followed after 1 week ,1 month ,3 months ,6 months and 1 year .Reduction in menstrual blood loss was noted in all participants. Results: Initial mean PBAC score at first visit was 206 ± 104 and Mean PBAC ( pictorial blood loss assessment chart ) score were reduced to 110± 94 at 3 months; 68.2± 72.6 at 6 months and 40.1± 20 at the end of 1 year. With a P value of <.001 at 6 months; p value of <0.002 at the end of 1 year . In 5.71%(n=2) LNG IUS expelled . 5.71% (n=2) patients were opted for removal of uterus after 6 months due to poor satisfaction in reduction of menstrual blood loss .No serious side effects were reported at the end of 1 year. Conclusion: Levonorgestrel intrauterine system significantly reduced the menstrual blood loss and decreased the need to go for hysterectomy in patients with heavy menstrual bleeding .
Authors and Affiliations
Dr Potharaju Jayanthi, Dr Ravella Sowjanya
Keywords
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- EP ID EP251460
- DOI 10.9790/0853-1612093841
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