Mirena: a novel alternative to hysterectomy

Simple item page
dc.contributor.authorHangekar, Parag M.en_US
dc.contributor.authorMhaske, Ganeshen_US
dc.contributor.authorShekhawat, Gulabsinghen_US
dc.date.accessioned2020-10-16T07:58:16Z
dc.date.available2020-10-16T07:58:16Z
dc.date.issued2019-08
dc.description.abstractBackground: To study the awareness and efficacy of Mirena (Levonorgestrel intrauterine system) in treatment of abnormal uterine bleeding.Methods: A prospective analytical study was conducted from January 2012 to June 2018 at Smt. Kashibai Navale medical college and general hospital, Pune, Maharashtra, India. Total 30 women between age of 35 to 45 yrs age were included in the study. Mirena was inserted post-menstrually in the operation room under sedation was done. The women were called for follow-up after 1 month, then 4 months, and then yearly (for maximum 2 years); and asked regarding the relief they have obtained from the antecedent menstrual complaints.Results: At end of study, Overall satisfaction rate among women was 76.67% and decrease menstrual blood flow observed in 20 (74.07%) cases. Most common side effect observed was irregular menses in 6 (22.22%) cases. Hysterectomy was required in 3 (11.11%) cases.Conclusions: Menorrhagia is a common gynaecologic problem often needing hysterectomy. The LNG-IUS reduces bleeding in women with menorrhagia due to benign causes. The patient acceptance and satisfaction is high. Main problem is irregular bleeding especially for the first 3 months after insertion. If the patients can be counseled before insertion, continuation rates for LNG-IUS are high. It has the potential to replace hysterectomy as treatment of choice in certain patients.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Smt. Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, Indiaen_US
dc.identifier.citationHangekar Parag M., Mhaske Ganesh, Shekhawat Gulabsingh. Mirena: a novel alternative to hysterectomy. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Aug; 8(8): 3005-3008en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/206971
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber8en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20193510en_US
dc.subjectAbnormal uterine bleedingen_US
dc.subjectEndometrial hyperplasiaen_US
dc.subjectLevonorgestrel intrauterine systemen_US
dc.subjectMirenaen_US
dc.titleMirena: a novel alternative to hysterectomyen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ijrcog2019v8n8p3005.pdf
Size:
136.31 KB
Format:
Adobe Portable Document Format
Download
Collections
International Journal of Reproduction, Contraception, Obstetrics and Gynecology