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Does the Mirena IUD eliminate the need for endometrial resection in women with menorrhagia? (Pro & Con).
YES
Long-term oral drug treatment for menstrual disorders is hampered by side effects, and the failure of medical therapy is usually considered an indication for surgery--either hysterectomy or endometrial ablation.
In Scandinavia, we have been using the Mirena IUD for at least 15 years. In addition to being a contraceptive, Mirena is an effective nonsurgical treatment for management of menorrhagia and dysmenorrhea, reducing the need for endometrial resection by 60% to 70%.
In a metaanalysis of five randomized, controlled trials comparing Mirena with no treatment, there was a significant reduction in blood loss in patients using Mirena.
In a separate study, Mirena reduced bleeding by 80%-96% over a 12-month period.
Another study comparing Mirena with norethindrone acetate showed that Mirena was significantly more effective in reducing bleeding.
The 3-year follow-up results from a study of 50 patients waiting for a hysterectomy or endometrial resection are also telling. Fifty patients were given Mirena while waiting for surgery, and menstrual blood loss was reduced to acceptable levels in 37 women after 3 months and 4 more women by 6 and 9 months.
- Internet resources for balloon and other endometrial ablation.
- Magazine article from: AORN Journal Drake, Cynthia July 1, 1999 700+ words
...continue to emerge. Hysteroscopic endometrial ablation was developed to treat menorrhagia...engine. Entering a search for "endometrial ablation" at www.altavista.com results...title "Cost-effectiveness of endometrial ablation for abnormal uterine bleeding using...
- Cytyc Announces New UK NICE Clinical Guideline Recommends Endometrial Ablation...
- Press release article from: Business Wire January 30, 2007 700+ words
...Excellence (NICE), recommends endometrial ablation as preferable to hysterectomy...resection and second-generation endometrial ablation techniques such as Cytyc's NovaSure([R]) Endometrial Ablation System, described as "bipolar...
- Research from A.C. Donnadieu and colleagues has provided new data on...
- Magazine article from: Women's Health Weekly September 11, 2008 700+ words
...sterilization performed simultaneously with endometrial ablation. Recent findings Dysfunctional...problem in premenopausal women." "Endometrial ablation is an effective therapeutic option...hysterectomy. Most women undergoing endometrial ablation are of reproductive age, and...
- Endometrial ablation as an alternative to hysterectomy. (Home Study Program).
- Magazine article from: AORN Journal League, Diane D. February 1, 2003 700+ words
The article "Endometrial ablation as an alternative to hysterectomy...and studying the article on endometrial ablation, the nurse will be able...choice used during each of the endometrial ablation approaches, and (4) describe...
- New endometrial ablation study findings have been reported by C.K. Madhu and...
- Newspaper article from: OBGYN & Reproduction Week October 5, 2009 700+ words
...effectiveness of second generation endometrial ablation techniques (microwave and thermal...An audit of microwave and balloon endometrial ablation procedures was completed and performed...underwent balloon and microwave endometrial ablation, respectively (Total = 195...
- Hot Saline in Endometrial Ablation.(Brief Article)
- Magazine article from: Family Practice News JOHNSON, KATE June 15, 1999 700+ words
...through the uterus can simplify endometrial ablation, according to the inventor of the...considered the gold standard [for endometrial ablation], but this method is very skill...means that this method can achieve endometrial ablation even in the case of anatomical variations...
- Essure safe in combo with endometrial ablation.(Gynecology)
- Magazine article from: OB GYN News Finn, Robert December 15, 2004 700+ words
...combination with two methods of endometrial ablation, according to studies presented...The majority of women who undergo endometrial ablation are in their reproductive years...control fertility after or during endometrial ablation," Rafael F. Valle, M.D...
- Microwave endometrial ablation trials promising. (Patients with Submucosal...
- Magazine article from: OB GYN News Boschert, Sherry February 15, 2002 700+ words
...FRANCISCO -- Microwave endometrial ablation stacked up well against...randomized to receive microwave endometrial ablation or rollerball ablation...patients undergoing microwave endometrial ablation. The choice of anesthesia...
Source: HighBeam Research, Does the Mirena IUD eliminate the need for endometrial resection in...