USE OF MIRENA – LEVONORGESTREL INTRA – UTERINE SYSTEM (LNG IUS) IN DYSFUCTION UTERINE BLEEDING IN THE REPRODUCTIVE AGE GROUP

Abstract

Objective: To assess the efficacy of Mirena in patients with dysfunctional uterine bleeding of reproductive age group.

Study Design: Quasi-experimental study.

Place and Duration of Study: the Department of Obstetrics and Gynecology Lady Lady Willingdon Hospital Lahore, from Jan 2012 to July 2012.

Material and Methods: Patients with dysfunctional uterine bleeding diagnosed on histopathology, not requiring conception, Unfit / unwilling for surgery were included in the study after ruling out all other causes of abnormal uterine bleeding. In thirty three patients of dysfunctional uterine bleeding, mirena was inserted. Sampling strategy was non-probability purposive sampling.

Results: Among thirty three subjects inserted with Mirena LNG system follow up at 3 months, 36.4% had no bleeding, 15.2% had spotting and 48.5% had heavy menstrual bleeding. At 6 month follow-up 90.9% had no bleeding and 9.1% had heavy menstrual bleeding (p=.000). Efficacy at three month follow up was in 36.4% of the subjects and at 6 months follow-up was in 75.8% of the patient (p=.000).

Conclusion: Mirena is an effective non-surgical treatment for dysfunctional uterine bleeding, in women of reproductive age group with fewer incidences of side effects.