Effectiveness of levonorgestrel-IUD in abnormal uterine bleeding management and user satisfaction
Background: The prevalence rate of abnormal uterine bleeding (AUB) in India is 17.9% which causes not only psychological and physical discomfort but also has ill effect on health status and quality of life. Objectives: To assess the role of levonorgestrel-IUD (LNG-IUD) in management of abnormal ut...
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| Format: | Article |
| Language: | English |
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Barpeta Obstetrics and Gynaecological Society
2024-05-01
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| Series: | New Indian Journal of OBGYN |
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| Online Access: | https://journal.barpetaogs.co.in/pdf/10339.pdf |
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| author | Raviraj Khairnar Archana Khairnar |
| author_facet | Raviraj Khairnar Archana Khairnar |
| author_sort | Raviraj Khairnar |
| collection | DOAJ |
| description | Background: The prevalence rate of abnormal uterine bleeding (AUB) in India is 17.9% which causes not only
psychological and physical discomfort but also has ill effect on health status and quality of life. Objectives: To assess
the role of levonorgestrel-IUD (LNG-IUD) in management of abnormal uterine bleeding and satisfaction level among
women. Methodology: Observational, descriptive, retrospective record based study was conducted at tertiary care
hospital on 70 women with AUB inserted with levonorgestrel intrauterine device. Results: Mean age of women was
43.59 years and commonest age group was 41 to 50 years (43%). Most women (27.14%) had normal uterus on
ultrasonography while about one fourth women had adenomyosis (24.29%). Menorrhagia was commonest complaint.
At the end of one year, abnormal uterine bleeding was noted in 67.21% women while spotting and heavy menstrual
bleeding was noted in 6.56% and 1.64% women respectively. Expulsion rate was 7.14% and removal rate was 5.71%.
Mean satisfaction score was 71.2 with highest satisfaction score in adenomyosis and lowest score in women with
thick endometrium. Conclusion: LNG-IUD had good acceptability with good efficiency, longer duration of action,
non-surgical technique, less side effects and good compliance rate. It had offered good satisfaction score in women
with different aetiologies of abnormal uterine bleeding. Expulsion rate and removal rates were minimal and could be
reduced further with proper selection of cases for LNG-IUD insertion. |
| format | Article |
| id | doaj-art-e646f15069a64053a658405d42ec07db |
| institution | DOAJ |
| issn | 2454-2334 2454-2342 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Barpeta Obstetrics and Gynaecological Society |
| record_format | Article |
| series | New Indian Journal of OBGYN |
| spelling | doaj-art-e646f15069a64053a658405d42ec07db2025-08-20T03:06:44ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422024-05-0110233934310.21276/obgyn.2024.10.2.18Effectiveness of levonorgestrel-IUD in abnormal uterine bleeding management and user satisfactionRaviraj Khairnar0Archana Khairnar1Associate Professor, SMBT Institute of Medical Science and Research Centre, Dhamangaon, Nashik, IndiaMBBS MD DGO, 46, Balwant Nagar, Ahead of Navashya Ganapati Near wisdom High school, off Gangapur Road Nashik, IndiaBackground: The prevalence rate of abnormal uterine bleeding (AUB) in India is 17.9% which causes not only psychological and physical discomfort but also has ill effect on health status and quality of life. Objectives: To assess the role of levonorgestrel-IUD (LNG-IUD) in management of abnormal uterine bleeding and satisfaction level among women. Methodology: Observational, descriptive, retrospective record based study was conducted at tertiary care hospital on 70 women with AUB inserted with levonorgestrel intrauterine device. Results: Mean age of women was 43.59 years and commonest age group was 41 to 50 years (43%). Most women (27.14%) had normal uterus on ultrasonography while about one fourth women had adenomyosis (24.29%). Menorrhagia was commonest complaint. At the end of one year, abnormal uterine bleeding was noted in 67.21% women while spotting and heavy menstrual bleeding was noted in 6.56% and 1.64% women respectively. Expulsion rate was 7.14% and removal rate was 5.71%. Mean satisfaction score was 71.2 with highest satisfaction score in adenomyosis and lowest score in women with thick endometrium. Conclusion: LNG-IUD had good acceptability with good efficiency, longer duration of action, non-surgical technique, less side effects and good compliance rate. It had offered good satisfaction score in women with different aetiologies of abnormal uterine bleeding. Expulsion rate and removal rates were minimal and could be reduced further with proper selection of cases for LNG-IUD insertion.https://journal.barpetaogs.co.in/pdf/10339.pdfmirenafibroidsadenomyosisdubhysterectomy |
| spellingShingle | Raviraj Khairnar Archana Khairnar Effectiveness of levonorgestrel-IUD in abnormal uterine bleeding management and user satisfaction New Indian Journal of OBGYN mirena fibroids adenomyosis dub hysterectomy |
| title | Effectiveness of levonorgestrel-IUD in abnormal uterine bleeding management and user satisfaction |
| title_full | Effectiveness of levonorgestrel-IUD in abnormal uterine bleeding management and user satisfaction |
| title_fullStr | Effectiveness of levonorgestrel-IUD in abnormal uterine bleeding management and user satisfaction |
| title_full_unstemmed | Effectiveness of levonorgestrel-IUD in abnormal uterine bleeding management and user satisfaction |
| title_short | Effectiveness of levonorgestrel-IUD in abnormal uterine bleeding management and user satisfaction |
| title_sort | effectiveness of levonorgestrel iud in abnormal uterine bleeding management and user satisfaction |
| topic | mirena fibroids adenomyosis dub hysterectomy |
| url | https://journal.barpetaogs.co.in/pdf/10339.pdf |
| work_keys_str_mv | AT ravirajkhairnar effectivenessoflevonorgestreliudinabnormaluterinebleedingmanagementandusersatisfaction AT archanakhairnar effectivenessoflevonorgestreliudinabnormaluterinebleedingmanagementandusersatisfaction |