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The levonorgestrel intrauterine system: a simple and effective alternative for the management of menorrhagia?

Cynthia M Farquhar
Med J Aust 2002; 177 (8): . || doi: 10.5694/j.1326-5377.2002.tb04891.x
Published online: 21 October 2002

Trial: Hurskainen R, Teperi J, Rissanen P, et al. Quality of life and cost-effectiveness of levonorgestrel-releasing intrauterine system versus hysterectomy for treatment of menorrhagia: a randomised trial. Lancet 2001; 357: 273-277.


  • Department of Obstetrics and Gynaecology, National Women's Hospital, University of Auckland, Auckland, NZ.


Correspondence: c.farquhar@auckland.ac.nz

  • 1. Lepine LA, Hillis SD, Marchbanks PA, et al. Hysterectomy surveillance — United States, 1980–1993. MMWR CDC Surveill Summ 1997; 46: 1-15.
  • 2. Weber AM, Walters MD, Schover LR, et al. Functional outcomes and satisfaction after abdominal hysterectomy. Am J Obstet Gynecol 1999; 181: 530-535.
  • 3. O'Connor H, Broadment J, Magos A, McPherson K. Medical Research Council randomised trial of endometrial resection versus hysterectomy in management of menorrhagia. Lancet 1997; 349: 897-901.
  • 4. Myers ER, Steege JF. Risk adjustment for complications of hysterectomy: limitations of routinely collected administrative data. Am J Obstet Gynecol 1999; 181: 567-575.
  • 5. Moher D, Schulz KF, Altman D. CONSORT Group (Consolidated Standards of Reporting Trials). The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials. JAMA 2001; 285: 1987-1991.
  • 6. Crosignani PG, Vercellini P, Mosconi P, et al. Levonorgestrel-releasing intrauterine device versus hysteroscopic endometrial resection in treatment of dysfunctional uterine bleeding. Obstet Gynecol 1997; 90: 257-263.
  • 7. Kittelsen N, Istre O. A randomized study comparing levonorgestrel intrauterine system (LNG IUS) and transcervical resection of the endometrium (TCRE) in the treatment of menorrhagia: preliminary results. Gynaecol Endosc 1998; 7: 61-65.
  • 8. Lähteenmäki P, Haukkamaa M, Puolakka J, et al. Open randomised study of use of levonorgestrel releasing intrauterine system as alternative to hysterectomy. BMJ 1998; 316: 1122-1126.
  • 9. Kjerulff KH, Langenberg PW, Rhodes JC, et al. Effectiveness of hysterectomy. Obstet Gynecol 2000; 95: 319-326.

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