Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience

Abstract

Abnormal uterine bleeding is a common cause for visits to gynecology polyclinics and one of the treatment options is levonorgestrel containing intrauterine device (LNG IUD; Mirena®). The aim of this study is to evaluate patient satisfaction following insertion of Mire-na® in women with the indication of abnormal uterine bleeding and to share our data concerning the use of Mirena. The study population of this retrospective study consisted of women with the diagnosis of dysfuntional abnormal uterine bleeding with Mirena® inserted between 1 January 2015-31 December 2015. Information about age, obstetric and gynecologic history of the patients, histologic diagnosis of endometrial sampling, pelvic ultrasound reports were retrieved from medical records of the patients. Afterwards, interviews on phone were conducted. Patient satisfaction, complications, rate of ame-norrhea, rate of expulsion or displacement, need for removal and if removed the treatment modality preferred were noted. Patient satisfaction was assessed by a scale of four as not satisfied, satisfied, very satisfied and extremely satisfied. A total of 61 Mirena® were inserted during study period and 50 patients were included in the study. We could interview with 31 patients on phone. No complication occurred related to vaginal insertion of Mirena® Twelve patients were ame-norrheic, 4 patients oligomenorrheic, 4 patients were complaining of metrorrhagia (spotting). Displacement of Mirena® did not occur, however in 6.45%. of the patients Mirena® came out accidentally. Four patients wanted their Mirena® to be removed. Eight patients were “not satisfied” at all, the other patients were satisfied from the treatment. As a result, Mirena® was overall a well-tolerated treatment modality and around three-quarter of the patients with Mirena® inserted for the treatment of abnormal uterine bleeding are satisfied from the treatment. © 2016, Logos Medical Publishing. All rights reserved.