(Open randomised study of use of levonorgestrel releasing intrauterine system as alternative to hysterectomy)
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Most hysterectomies are carried out to treat excessive menstrual bleeding (menorrhagia), say Lähteenmäki et al, in this week's BMJ. During a six month study in Finland, women scheduled for a hysterectomy to treat menorrhagia were offered the alternative of a hormone releasing (levonorgestrel) intrauterine device to control their bleeding and pain. At the end of the six month period the authors found that two thirds (64 per cent) of the women opted to cancel their operation and continue with the intrauterine treatment.
As this result persisted beyond twelve months, Lähteenmäki et al conclude that the hormone releasing intrauterine system (which also acts as a contraceptive) is an effective and acceptable alternative to hysterectomy in the treatment of menorrhagia, particularly for sufferers who wish to maintain their fertility.
Contact:
Dr P Lähteenmäki, Leiras Oy, Pansiontie 47, PO Box 415, FIN-20101, Turku, Finland
t: +358 2333 2425 or +358 40 502 5651 (mobile)
f: +358 2333 2370
pekka.laehteenmaeki@leiras.fi