The New Indian Journal of OBGYN. Epub Ahead of Print

Effectiveness of levonorgestrel-IUD in abnormal uterine bleeding management and users satisfaction

Raviraj Khairnar, Archana Khairnar

ABSTRACT

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.