Skip to main content
Top
Published in: Archives of Gynecology and Obstetrics 6/2009

01-06-2009 | Original Article

Use of the Levonorgestrel-IUS in the treatment of menorrhagia: assessment of quality of life in Turkish users

Authors: Husnu Gorgen, Murat Api, Aysu Akça, Ahmet Cetin

Published in: Archives of Gynecology and Obstetrics | Issue 6/2009

Login to get access

Abstract

Objective

The aim of the present study was to measure the treatment of menorrhagia and health-related quality of life (QoL) in Levonorgestrel-releasing intrauterine system (LNG-IUS) in Turkish women.

Materials and methods

We recruited 66 premenopausal women, aged 26–55 years, who had sought care in the previous year for menorrhagia. All patients were asked to complete a visual analog scale (VAS) form regarding pelvic pain, sexual life (libido) and general feeling of health. Patients filled the VAS form before LNG-IUS insertion and after 6 months.

Results

After the 6-month visit, PBAC score was condirebly decreased (p < 0.001). Six (10%) of the 60 patients PBAC score was higher than 75. VAS score for pelvic pain decreased from baseline to 6-month follow-up (4.32–3.55), and the libido and general feeling of health increased (4.27–4.95 and 3.47–6.87, respectively).

Conclusion

The LNG-IUS device in the trearment of menorrhagia has cost effective, less side effects and increse in the QoL.
Literature
2.
go back to reference Chrisman C, Ribeiro P, Dalton VK (2007) The Levonorgestrel-releasing intrauterine system: an updated review of the contraceptive and noncontraceptive uses. Clin Obstet Gynecol 50(4):886–897PubMedCrossRef Chrisman C, Ribeiro P, Dalton VK (2007) The Levonorgestrel-releasing intrauterine system: an updated review of the contraceptive and noncontraceptive uses. Clin Obstet Gynecol 50(4):886–897PubMedCrossRef
3.
go back to reference Lethaby AE, Cooke I, Rees M (2005) Progesterone or progestogen-releasing intrauterine systems for heavy menstrual bleeding. Cochrane Database Syst Rev CD002126 Lethaby AE, Cooke I, Rees M (2005) Progesterone or progestogen-releasing intrauterine systems for heavy menstrual bleeding. Cochrane Database Syst Rev CD002126
4.
go back to reference Higham JM, O’Brien PMS, Shaw RW (1990) Assessment of menstrual blood loss using a pictorial chart. Br J Obstet Gynaecol 97:734–739PubMed Higham JM, O’Brien PMS, Shaw RW (1990) Assessment of menstrual blood loss using a pictorial chart. Br J Obstet Gynaecol 97:734–739PubMed
6.
go back to reference Jenkinson C, Peto V, Coulter A (1994) Measuring change over time: a comparison of results from a global single item of health status and the multi-dimensional SF-36 health status survey questionnaire in patients presenting with menorrhagia. Qual Life Res 3:317–321. doi:10.1007/BF00451723 PubMedCrossRef Jenkinson C, Peto V, Coulter A (1994) Measuring change over time: a comparison of results from a global single item of health status and the multi-dimensional SF-36 health status survey questionnaire in patients presenting with menorrhagia. Qual Life Res 3:317–321. doi:10.​1007/​BF00451723 PubMedCrossRef
7.
go back to reference Keshavarz H, Hillis SD, Kieke BA, Marchbanks PA (2002) Hysterectomy surveillance—United States, 1994–1999. MMWR CDC Surveill Summ 51:1–8 Keshavarz H, Hillis SD, Kieke BA, Marchbanks PA (2002) Hysterectomy surveillance—United States, 1994–1999. MMWR CDC Surveill Summ 51:1–8
8.
go back to reference Clarke A, Black N, Rowe P, Mott S, Howie K (1995) Indications for and outcomes of total abdominal hysterectomy for benign disease; a prospective cohort study. Br J Obstet Gynaecol 102:611–620PubMed Clarke A, Black N, Rowe P, Mott S, Howie K (1995) Indications for and outcomes of total abdominal hysterectomy for benign disease; a prospective cohort study. Br J Obstet Gynaecol 102:611–620PubMed
9.
go back to reference Dwyer N, Hutton J, Stirrat GM (1993) Randomised controlled trial comparing endometrial resection with abdominal hysterectomy for the surgical treatment of menorraghia. Br J Obstet Gynaecol 100:237–243PubMed Dwyer N, Hutton J, Stirrat GM (1993) Randomised controlled trial comparing endometrial resection with abdominal hysterectomy for the surgical treatment of menorraghia. Br J Obstet Gynaecol 100:237–243PubMed
10.
go back to reference Sculpher MJ, Dwyer N, Byford S, Stirrat GM (1996) Randomised trial comparing hysterectomy and transcervical endometrial resection: effect on health related quality of life and costs two years after surgery. Br J Obstet Gynaecol 103:142–149PubMed Sculpher MJ, Dwyer N, Byford S, Stirrat GM (1996) Randomised trial comparing hysterectomy and transcervical endometrial resection: effect on health related quality of life and costs two years after surgery. Br J Obstet Gynaecol 103:142–149PubMed
11.
go back to reference Hurskainen R, Teperi J, Rissanen P, Aalto AM, Grenman S, Kivela A et al (2001) Quality of life and cost-effectiveness of levonorgestrel-releasing intrauterine system versus hysterectomy for treatment of menorrhagia: a randomised trial. Lancet 357:273–277. doi:10.1016/S0140-6736(00)03615-1 PubMedCrossRef Hurskainen R, Teperi J, Rissanen P, Aalto AM, Grenman S, Kivela A et al (2001) Quality of life and cost-effectiveness of levonorgestrel-releasing intrauterine system versus hysterectomy for treatment of menorrhagia: a randomised trial. Lancet 357:273–277. doi:10.​1016/​S0140-6736(00)03615-1 PubMedCrossRef
13.
go back to reference Shankar M, Kadir RA (2008) Review of quality of life: menorrhagia in women with or without inherited bleeding disorders. Haemophilia 14:15–20PubMed Shankar M, Kadir RA (2008) Review of quality of life: menorrhagia in women with or without inherited bleeding disorders. Haemophilia 14:15–20PubMed
16.
go back to reference National Collaborating Centre for Women’s and Children’s Health (NICE) Heavy menstrual bleeding. Published by the RCOG Press at the Royal Collage of Obstetricians and Gynaecologists, London. www.rcog.org.uk National Collaborating Centre for Women’s and Children’s Health (NICE) Heavy menstrual bleeding. Published by the RCOG Press at the Royal Collage of Obstetricians and Gynaecologists, London. www.​rcog.​org.​uk
20.
go back to reference Guyatt GH, Feeny DH, Patrick DL (1993) Measuring health-related quality of life. Ann Intern Med 118(8):622–629PubMed Guyatt GH, Feeny DH, Patrick DL (1993) Measuring health-related quality of life. Ann Intern Med 118(8):622–629PubMed
Metadata
Title
Use of the Levonorgestrel-IUS in the treatment of menorrhagia: assessment of quality of life in Turkish users
Authors
Husnu Gorgen
Murat Api
Aysu Akça
Ahmet Cetin
Publication date
01-06-2009
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 6/2009
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-008-0834-x

Other articles of this Issue 6/2009

Archives of Gynecology and Obstetrics 6/2009 Go to the issue