DOI: 10.36347/sjams.2019.v07i07.025

Pages: 2395-2398

Aims and Objective: The aim of this study is to evaluate the efficacy and patient satisfaction among women who were treated with LNG -IUS as conservative management of AUB. Material and method: This was a prospective observational study conducted in 120 women over a period of 5 years who came to the OPD with various complaints like Menorrhagia, Polymenorrhagia, Menometrorrhagia, Dysmenorrhoea etc at Rajdeep Fertility Research Centre and Nursing Home, Kota. They were inserted LNG-IUS as either alone or with D&C, Hysteroscopy followed by insertion. Response was assessed monthly for 3 months then 6 monthly for 2 years by pelvic assessment (to see thread) and ultrasound at every visit. Results: A total of 120 women which were studied were in the age group of 35 to 55 years with the mean age of 42.1 years. Menorrhagia (71.66%) was the most common type of AUB with which the women came to us, followed by Menometrorrhagia, Polymenorrhagia, Dysmenorrhoea. The most common indication for which Mirena was inserted is AUB-O (30.8%) [1-4] followed by AUB-A (19.1%). About 35% women were with Hyperplastic endometrium [5] in whom D&C was done prior to insertion of MIRENA, AUB-L (6.6%), AUB-P(8.3%), AUB-O(25%). It proved to be a boon in women with Menorrhagia and who were Medically unfit (5.8%). There was decrease in menstrual blood loss in 73 % of the patients by 3 months and 97% of the patients by 6 months and 88.3% patients achieved amenorrhoea by 1 year [1-4].