PATIENT SATISFACTION FOR LEVONORGESTREL INTRAUTERINE SYSTEM AND NORETHISTERONE FOR TREATMENT OF DYSFUNCTIONAL UTERINE BLEEDING
AbstractBackground: 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 topinpoint the cause of abnormal bleeding even after a thorough history and physical examination. Aimwas to compare patient satisfaction for Levonorgestrel intra uterine system (LNG-IUS) andNorethisterone for the treatment of Dysfunctional Uterine Bleeding (DUB). It is Descriptive case seriesconducted in Department Obstetrics and Gynaecology, Shifa International Hospital, Islamabad fromSeptember, 2011 to September, 2012. Methods: One hundred and nineteen (119) female patients ofreproductive age Group with DUB were selected by consecutive sampling. Informed written consentwas obtained. A structural patient satisfaction questionnaire (PSQ) was used to collect informationregarding age of patients, type of method used for treatment of DUB (Levonorgestrel orNorethisterone), treatment outcome in terms of patient satisfaction scale, and decrease in bleeding after6 months. Results: The mean age of the patients was 41.03±4.415 year ranging from 28–60 years. Themean parity of women in the study was 3.22±1.188 with a range of 1–7. The satisfaction level wassignificantly (p<0.05) greater (90% versus 20%) in Group A (levonorgesterol-releasing intrauterinesystem) 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 themethod as well as recommendation to a friend was significantly greater in Group A as compared toGroup B. Conclusion: The levonorgesterol-releasing intrauterine system (LNG-IUS) is a better choiceas compared to Norethisterone, for treatment of DUB with 90% patients highly satisfied.Keywords: Levonorgestrel, Norethisterone, patient satisfaction, treatment outcome
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