Dual Intrauterine Device Placement for Refractory Endometriosis Pain in a Bicornuate Uterus: A Case Report

Mohammad Mustafa Farooq Khan, Saadia Ejaz
In: Cureus · 2026 · doi:10.7759/cureus.114635 · W7203610778
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In a patient with a bicornuate uterus and refractory endometriosis pain, hysteroscopically guided dual levonorgestrel-releasing intrauterine system placement significantly reduced pelvic pain and bleeding after six months.

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The provided text consists entirely of advertising content, sponsorship disclosures, and website navigation elements from the Cureus journal platform rather than the actual scientific article. It mentions a title regarding dual intrauterine device placement for refractory endometriosis pain in a bicornuate uterus but offers no abstract, methodology, results, or clinical data to summarize. Consequently, there is no substantive research content available to analyze or describe within the requested sentence count. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

A 27-year-old nulliparous woman presented with chronic pelvic pain (CPP) (8/10 on the Numerical Rating Scale (NRS)), dysmenorrhea, heavy menstrual bleeding (HMB), and a family history of endometriosis. She had failed treatment with an etonogestrel implant and dienogest. Hysteroscopy confirmed a bicornuate uterus. Under direct hysteroscopic guidance, two levonorgestrel-releasing intrauterine systems (LNG-IUS) were inserted, with one device placed in each uterine horn. At the four-month follow-up, the patient reported a significant reduction in pain (2/10 on the NRS), dysmenorrhea, and bleeding, with ultrasound confirming correct device placement. At six months, her pain score had decreased to 1/10. Dual LNG-IUS insertion under hysteroscopic guidance represents a minimally invasive and effective strategy for managing endometriosis-related pain in patients with a bicornuate uterus when conventional therapies are inadequate. Long-term follow-up and regular monitoring are warranted to assess for potential side effects.
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