PATIENT SATISFACTION FOR LEVONORGESTREL INTRAUTERINE SYSTEM AND NORETHISTERONE FOR TREATMENT OF DYSFUNCTIONAL UTERINE BLEEDING
Abstract
Background: Dysfunctional uterine bleeding (DUB) is a common problem with complexmanagement. It can be quite harrowing for the physicians as in most instances they are unable to
pinpoint the cause of abnormal bleeding even after a thorough history and physical examination. Aim
was to compare patient satisfaction for Levonorgestrel intra uterine system (LNG-IUS) and
Norethisterone for the treatment of Dysfunctional Uterine Bleeding (DUB). It is Descriptive case series
conducted in Department Obstetrics and Gynaecology, Shifa International Hospital, Islamabad from
September, 2011 to September, 2012. Methods: One hundred and nineteen (119) female patients of
reproductive age Group with DUB were selected by consecutive sampling. Informed written consent
was obtained. A structural patient satisfaction questionnaire (PSQ) was used to collect information
regarding age of patients, type of method used for treatment of DUB (Levonorgestrel or
Norethisterone), treatment outcome in terms of patient satisfaction scale, and decrease in bleeding after
6 months. Results: The mean age of the patients was 41.03±4.415 year ranging from 28-60 years. The
mean parity of women in the study was 3.22±1.188 with a range of 1-7. The satisfaction level was
significantly (p<0.05) greater (90% versus 20%) in Group A (levonorgesterol-releasing intrauterine
system) as compared with Group B (Norethisterone). The blood loss was significantly (p<0.05)
decreased in Group A (98%) as compared with Group B (80%). The preference of continuing the
method as well as recommendation to a friend was significantly greater in Group A as compared to
Group B. Conclusion: The levonorgesterol-releasing intrauterine system (LNG-IUS) is a better choice
as compared to Norethisterone, for treatment of DUB with 90% patients highly satisfied.
Keywords: Levonorgestrel, Norethisterone, patient satisfaction, treatment outcome
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