AI Article Synopsis
- The study aimed to assess how effective Mirena, a type of IUD releasing levonorgestrel, is for treating heavy menstrual bleeding (menorrhagia) after endometrial resection in women with adenomyosis.
- Conducted as an open, randomized observational study in a private hospital, it involved 95 women where some received Mirena after the procedure while others did not.
- The results showed that the Mirena group had a significantly higher rate of amenorrhea after one year, with no one in that group needing a second procedure for bleeding, unlike 19% in the control group.
Article Abstract
Study Objective: To evaluate the efficacy of Mirena, a levonorgestrel-releasing intrauterine device, after endometrial resection for treatment of menorrhagia caused by adenomyosis.
Design: Open, randomized, observational study (Canadian Task Force classification II-2).
Setting: Private hospital.
Patients: Ninety-five women.
Intervention: Endometrial resection, after which control patients received no further treatment and study patients had Mirena inserted immediately after the procedure.
Measurements And Main Results: The rate of amenorrhea after 1 year was significantly higher in the Mirena group. Nineteen percent of women in the control group had a second procedure to control bleeding compared with none in the Mirena group.
Conclusion: Insertion of Mirena after endometrial resection is effective treatment for menorrhagia caused by adenomyosis and has very few adverse effects.
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| http://dx.doi.org/10.1016/s1074-3804(05)60158-2 | DOI Listing |
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