The use of Mirena in the treatment of menorrhagia in Basra
AbstractObjective : To evaluate the efficacy and safety of mirena in the long term treatment of heavy menstrual blood loss in women with benign causes in Basra. Maternal and Methods : A prospective observational study, non comparative study, conducted at Basra maternity and child hospital over a period of four years from 1st of Jan.2009 to the first of Jan. 2013. It consist of 112 women. All have heavy menstrual bleeding for benign causes having no contraindication for the device all women were followed up at 3 months, 6 months and 12 months. Result : Majority of women had menstrual spotting after 3-6 months, followed by infrequent menstruation, scanty period or Amenorrhaea, (71.4%) continued to use mirena beyond 1 years. while the discontinuation rate was (29.6%). Haemoglobin and serum ferritin and PCV level increased over 12 months of use, It was found that the most common side effect were bleeding disturbance (16%) no pregnancies occur during the study period , so mirena is a safe and effective option for women with menorrhagia in perimenopasual period.
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