Hysterectomy, endometrial destruction, and levonorgestrel releasing intrauterine system (Mirena) for heavy menstrual bleeding: systematic review and meta-analysis of data from individual patients

摘要

STUDY QUESTION How dissatsified are women aftertreatment for heavy menstrual bleeding with hysterectomy, first and second generation endometrial destruction techniques, orthe levonorgestrel releasing intrauterine system (Mirena)? SUMMARY ANSWER First and second generation endometrial destruction techniques were associated with greater dissatisfaction than hysterectomy, although rates of dissatisfaction were low after all treatments. WHAT IS KNOWN AND WHATTHIS PAPER ADDS Less invasive alternatives to hysterectomy for the treatment of heavy menstrual bleeding, such as endometrial destruction and Mirena, have become increasingly popular. More women were dissatisfied with treatment after first or second generation endometrial destruction techniques than after hysterectomy, but hysterectomy is associated with increased length of hospital stay and recovery period.