Evaluation of effects of levonorgestrel releasing intrauterine system in heavy menstrual bleeding


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Article type :

Original Article

Author :

Amrita Gupta, Subrata Das, Ritu Mahata

Volume :

12

Issue :

3

Abstract :

Background: Heavy menstrual bleeding (HMB), is one of the most frequently encountered problem in the gynaecology OPD. It can significantly affect women’s quality of life and overburden health-care systems. The Levonorgestrel Releasing Intrauterine System (LNG-IUS) is a highly effective long-acting reversal contraceptive, also useful for controlling HMB and promoted by National Institute for Health and Care Excellence (NICE). Materials and Methods: This prospective interventional study conducted upon 30 women, with heavy menstrual bleeding, of 30-50 years’ age, reporting in the outpatient department of a tertiary health care facility unit “between” January 2018 to June 2019. Women, who met inclusion and exclusion criteria were our study population. Data was collected during follow up at 1, 3 and 6 month and all the association were tested by mean, proportion and percentages. Chi-square test was used for comparing categorical result and p-value of less than 0.05 was considered as statistically significant. Calculation was made by using IBM SPSS 26 version of statistical software. Results: Majority of women were from 40-45 years’ age group. Pictorial Blood Loss Assessment Chart (PBAC) score was calculated in 30 women who underwent LNG IUS insertion.There was significant reduction (p Conclusion: LNG IUS is effective and can be used as first line measure for treatment of HMB.

Keyword :

Heavy menstrual bleeding, Levonorgestrel Releasing Intrauterine System, Pictorial Blood Loss Assessment Chart, Visual Analogue Scale
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