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Insertion of mirena after endometrial resection in patients with adenomyosis
Hugo Maia1, Amélia Maltez, Genevieve Coelho
1CEPARH, Rua Caetano Moura, 35, Salvador, Bahia, 4210-341 Brazil.
Study Objective:
To evaluate the efficacy of Mirena, a levonorgestrel-releasing intrauterine device, after endometrial resection for treatment of menorrhagia caused by adenomyosis.
Design:
Open, randomized, observational study (Canadian Task Force classification II-2).
Setting:
Private hospital.
Patients:
Ninety-five women.
Intervention:
Endometrial resection, after which control patients received no further treatment and study patients had Mirena inserted immediately after the procedure.
Measurements And Main Results:
The rate of amenorrhea after 1 year was significantly higher in the Mirena group. Nineteen percent of women in the control group had a second procedure to control bleeding compared with none in the Mirena group.
Conclusion:
Insertion of Mirena after endometrial resection is effective treatment for menorrhagia caused by adenomyosis and has very few adverse effects.
