Comparison Between Lng Ius Vs Hysterectomy In Management Of Endometriosis

Debobroto Roy, Banhi Shikha Modak, A. Nag, Prof. Dr. Tapas Ghosh
In: South Eastern European Journal of Public Health · 2024 · pp. 425–430 · doi:10.70135/seejph.vi.1192 · W4402558098
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This study compared the efficacy, safety, and quality of life impact of LNG-IUS versus hysterectomy for endometriosis management, finding LNG-IUS less invasive while hysterectomy offers definitive treatment.

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This comparative study evaluated the efficacy, safety, and quality of life impacts of using a levonorgestrel-releasing intrauterine system versus hysterectomy for managing endometriosis. Conducted over two years at Burdwan Medical College, the research analyzed patient data including gravidity to assess outcomes between the less invasive hormonal treatment and the definitive surgical option. The authors concluded that while LNG-IUS preserves fertility and offers a conservative management strategy, hysterectomy remains a suitable choice for severe cases despite its impact on reproductive goals. This paper is centrally about endometriosis — specifically comparing medical management with surgical intervention — and also addresses adenomyosis within its keyword scope.

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Abstract

Introduction: Adenomyosis is a disorder characterized by the presence of islets within the myometrium that consist of both epithelial and stromal elements of endometrial tissue. In fact, adenomyosis has been referred to as the “neglected diagnosis” and “elusive disease” due to its uncharacteristic clinical profile Objective: To evaluate the efficacy, safety, and impact on quality of life of LNG-IUS versus hysterectomy in the management of endometriosis. Materials and Methods: The present study was a comparative study. This Study was conducted from 2years at Department of Gynae & OBST Burdawan Medical College, P.O. Rajabati Baburbag, Burdawan 713104. Result: In Mirena, the mean Gravidity (mean± s.d.) of patients was 4.0 (3.0). In Hysterectomy, the mean Gravidity (mean± s.d.) of patients was 5.0 (3.0). Distribution of mean Gravidity with Group was not statistically significant (p=0.729). Conclusion: The LNG-IUS offers a less invasive option with the advantage of preserving reproductive organs and maintaining fertility, making it suitable for women seeking to manage symptoms without undergoing major surgery. In contrast, hysterectomy provides a more definitive treatment for severe cases but comes with considerable implications regarding fertility and long-term hormonal changes. The choice between LNG-IUS and hysterectomy should be individualized based on patient preferences, symptom severity, and reproductive goals.
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Introduction

Adenomyosis is a disorder characterized by the presence of islets within the myometrium that consist of both epithelial and stromal elements of endometrial tissue. In fact, adenomyosis has been referred to as the “neglected diagnosis” and “elusive disease” due to its uncharacteristic clinical profile

Objective

To evaluate the efficacy, safety, and impact on quality of life of LNG-IUS versus hysterectomy in the management of endometriosis. Materials and Methods: The present study was a comparative study. This Study was conducted from 2years at Department of Gynae & OBST Burdawan Medical College, P.O. Rajabati Baburbag, Burdawan 713104. Result: In Mirena, the mean Gravidity (mean± s.d.) of patients was 4.0 (3.0). In Hysterectomy, the mean Gravidity (mean± s.d.) of patients was 5.0 (3.0). Distribution of mean Gravidity with Group was not statistically significant (p=0.729). Conclusion: The LNG-IUS offers a less invasive option with the advantage of preserving reproductive organs and maintaining fertility, making it suitable for women seeking to manage symptoms without undergoing major surgery. In contrast, hysterectomy provides a more definitive treatment for severe cases but comes with considerable implications regarding fertility and long-term hormonal changes. The choice between LNG-IUS and hysterectomy should be individualized based on patient preferences, symptom severity, and reproductive goals. Downloads Published How to Cite Issue Section License This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

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