Efficacy of LNG IUS

Uma Pandey


Background: Objective of the study was to find out improvement in menstrual symptoms with Levonorgestrel Intrauterine System (LNG IUS) among women presenting with heavy menstrual bleeding.

Methods: LNG IUS was inserted in women presenting to Gynaecology outpatients department with complains of heavy menstrual bleeding (HMB), pain or for contraception. The age range was 37-46 years. Endometrial biopsy was done in all patients. Only those women with LNG IUS use were included in the study who continued to visit us for at least 6 months.

Results: There were 35 women who were included in this observational study. 94.28% (33/35) women had LNG IUS inserted in theatre whilst 5.7% (2/35) had in the outpatients department. There was improvement in menstrual symptoms in 80% of the patients. There was no relief in the endometriosis group. Total abdominal hysterectomy was performed in 7 women who had endometriosis (20%).

Conclusions: In my observational study 80% of women are satisfied with the device and had relief in their symptoms. In view of HMB’s high prevalence, an optimal treatment for this kind of menstrual symptoms is very important especially in developing world set up where resources aren’t easily available.



Heavy menstrual bleeding, Levonorgestel Intrauterine System, Endometrial biopsy, Hysterectomy

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