Effectiveness of Levonorgestrel-Releasing Intrauterine System (LNG-IUS) in Women with Abnormal Uterine Bleeding (Code-T0336)

Introduction: Abnormal uterine bleeding (AUB) is a common gynecological condition affecting 
women of reproductive age, significantly impacting their quality of life. It can result from 
various causes, including hormonal imbalances, structural abnormalities, and coagulation 
disorders. The Levonorgestrel-Releasing Intrauterine System (LNG-IUS) has emerged as an 
effective, long-term, and minimally invasive treatment for AUB. This study aims to evaluate the 
efficacy of LNG-IUS in managing AUB in women aged 35-50 years. 
Aims and Objectives 
 To assess the effectiveness of LNG-IUS in reducing menstrual blood loss in women with 
AUB. 
 To evaluate patient satisfaction and adherence to LNG-IUS therapy. 
 To analyze changes in menstrual patterns, hemoglobin levels, and endometrial thickness 
following LNG-IUS insertion. 
Methods: A prospective observational study was conducted at N.S.C.B. Medical College, 
Jabalpur, involving 55 women aged 35-50 years with AUB. Participants underwent LNG-IUS 
insertion and were followed up at 1.5, 3, and 6 months. Parameters assessed included menstrual 
flow, frequency, regularity, hemoglobin levels, and endometrial thickness. Data were analyzed 
using SPSS software. 
Results: LNG-IUS significantly reduced menstrual blood loss, with 81.6% of women reporting 
normal flow at 6 months. Hemoglobin levels improved, and endometrial thickness decreased. 
Patient satisfaction was high, with minimal adverse effects reported. 
Conclusion: LNG-IUS is a highly effective and well-tolerated treatment for AUB, offering an 
alternative to hysterectomy. It improves menstrual patterns and enhances quality of life, making 
it a preferred choice for long-term AUB management. 
Keywords: Abnormal Uterine Bleeding, LNG-IUS, Menstrual Flow, Endometrial Thickness, 
Hemoglobin, Patient Satisfaction.