The treatment of dysfunctional uterine bleeding with the Mirena IUS: A survival analysis

Abstract

A questionnaire was sent to 124 women with dysfunctional uterine bleeding (DUB) who had been treated with the Mirena IUS. Prior to treatment, the women had received advice about the side effects of the Mirena IUS. There was a 71% response rate of which 21% had the Mirena IUS removed prematurely. The main reasons for removal were pelvic pain and irregular vaginal bleeding. The projected Kaplan-Meier survival rate for the device over the 5-year therapeutic lifetime was 55%. The amenorrhoea rate was 38% and the oligomenorrhoea rate was 72%. The Mirena IUCD is an effective form of treatment for DUB and the majority of women are likely to continue with this treatment at 5 years. © Springer-Verlag 2005.