Mirena as an Alternative to Hysterectomy in Cases of Dub

Mirena as an Alternative to Hysterectomy in Cases of Dub





Introduction:  Dysfunctional uterine bleeding is the leading cause of hysterectomy due to conventional treatment failure. Levonorgestrel releasing intra ute-rine device (Mirena) is found to solve this issue by better control of bleeding and thus reducing hysterec-tomy rate.

Objective:  To measure the efficacy of Mirena as compared to OCP's in control of DUB and to deter-mine that it is an alternative to hysterectomy.

Study Design:  It was an interventional (experimental) type of study.

Setting:  Department of Obstetrics and gynecology Unit 11 Lady Willingdon Hospital, Lahore.

Duration with Dates:  In a total of 60 patients pre-senting with DUB in out patient department from 7th April 2004 to 31st December 2005.

Subjects and Methods:  In a total of 60 patients sele-cted were randomly allocated to Group A and B to receive Mirena and OCP's respectively. Both groups were followed at 6 months and 1 year of treatment. Main outcome measures were patient satisfaction with current treatment and their decision to continue or opt for hysterectomy. 80.7% women receiving Mirena were satisfied with their treatment, while only 30% in the OCP's group (p-value < 0.05) at the end of study. 7.69% was the discontinuation rate of treatment in Mirena group while it was 50% in the control group (p-value < 0.05).

Conclusion:  Mirena is a better option in the treatment of DUB and it can prove to be an alternative to hyste-rectomy, while we want a more conservative type of treatment.


1.      Dysfunctional uterine bleeding.

2.      Menorrhagia.

3.      Abnormal uterine bleeding.

4.      Levonorgestrel.

5.      Oral contraceptive pills.

6.      Tranexamic acid.

7.      Estrogens.


How to Cite

Mirena as an Alternative to Hysterectomy in Cases of Dub. (2014). Annals of King Edward Medical University, 19(2), 174. https://doi.org/10.21649/akemu.v19i2.507



Research Articles