Insertion of the Mirena Intrauterine System for Treatment of Adenomyosis-Associated Menorrhagia: A Novel Method

Fu Shaing Peng, Ming Yih Wu, Jehn Hsiahn Yang, Shee Uan Chen, Hong Nerng Ho, Yu Shih Yang

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective: Insertion of the levonorgestrel-releasing intrauterine system Mirena is difficult in women with adenomyosis, and the device is often subsequently expelled. We used a novel insertion technique (Yang's method) to overcome this problem. Materials and Methods: This retrospective study enrolled 273 patients with adenomyosis who were receiving Mirena for treatment of menorrhagia and/or dysmenorrhea between 2001 and 2008. Clinical outcomes and expulsion rates were compared between patients treated using conventional insertion and those treated using Yang's insertion methods. Results: Expulsion occurred in 25.3% of patients with the conventional method, compared with 10.2% of patients with Yang's method. Hemoglobin levels and dysmenorrhea improved greatly in both groups after Mirena insertion. Conclusion: Yang's insertion method for levonorgestrel-releasing intrauterine system is more reliable in some difficult cases, such as patients with severe adenomyosis. This method ensures correct positioning, thus reducing the risks of uterine perforation and/or expulsion.

Original languageEnglish
Pages (from-to)160-164
Number of pages5
JournalTaiwanese Journal of Obstetrics and Gynecology
Volume49
Issue number2
DOIs
Publication statusPublished - Jun 1 2010
Externally publishedYes

Fingerprint

Adenomyosis
Menorrhagia
Levonorgestrel
Dysmenorrhea
Therapeutics
Uterine Perforation
Hemoglobins
Retrospective Studies
Equipment and Supplies

Keywords

  • Adenomyosis
  • Expulsion
  • Levonorgestrel-releasing intrauterine system
  • Menorrhagia
  • Mirena

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Insertion of the Mirena Intrauterine System for Treatment of Adenomyosis-Associated Menorrhagia : A Novel Method. / Peng, Fu Shaing; Wu, Ming Yih; Yang, Jehn Hsiahn; Chen, Shee Uan; Ho, Hong Nerng; Yang, Yu Shih.

In: Taiwanese Journal of Obstetrics and Gynecology, Vol. 49, No. 2, 01.06.2010, p. 160-164.

Research output: Contribution to journalArticle

Peng, Fu Shaing ; Wu, Ming Yih ; Yang, Jehn Hsiahn ; Chen, Shee Uan ; Ho, Hong Nerng ; Yang, Yu Shih. / Insertion of the Mirena Intrauterine System for Treatment of Adenomyosis-Associated Menorrhagia : A Novel Method. In: Taiwanese Journal of Obstetrics and Gynecology. 2010 ; Vol. 49, No. 2. pp. 160-164.
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