Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8753120 | American Journal of Obstetrics and Gynecology | 2017 | 25 Pages |
Abstract
Comparing all trade-offs associated with 4 possible treatments of heavy menstrual bleeding, the levonorgestrel-releasing intrauterine system was superior to both hysterectomy and endometrial ablation in terms of cost and quality of life. Hysterectomy is associated with a superior quality of life and fewer complications than either type of ablation but at a higher cost. For women who are unwilling or unable to choose the levonorgestrel-releasing intrauterine system as a first-course treatment for heavy menstrual bleeding, consideration of cost, procedure-specific complications, and patient preferences can guide the decision between hysterectomy and ablation.
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Authors
Jennifer C. MSPH, Michelle MD, Janelle K. MD, MSCR, Victoria MSPH, Lauren D. MD, Tarek MD, MSCR, Matthew T. MD, MSCR, Stephanie B. PhD, MPH,