Mammona Mushtaq, Khadija Ashraf.
Outcome of Levonorgestrel releasing intrauterine system in the treatment of idiopathic Menorrhagia.
J Surg Pak Jan ;10(3):2-5.

Objective:To investigate the effect of levonorgestrel releasing intrauterine system (LNG-IUS) in the treatment of idiopathic menorrhagia. Methods:Eighty-five patients with idiopathic menorrhagia were selected for the study. The LNG-IUS was inserted on cycle day 5-7. Before the insertion menstrual blood loss was measured along with hemoglobin and serum ferritin. These were measured before the insertion and once every 3 months for 3 years for evaluation of efficacy of treatment. Results:A significant reduction of menstrual blood loss (MBL) at 1 year was observed. After 6 months one fourth of patients experienced amenorrhoea. Hemoglobin increased significantly from 9.7 gm/dl to 11.1 gm/dl, while serum ferritin levels increased significantly from 20.6 ng/ml to 93.4 ng/ml after I year In women using LNG-IUS levels were maintained. Conclusion:The significant reduction in menstrual blood loss and increase in hemoglobin and serum ferritin has great implications for women`s reproductive health in developing countries.

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