ABSTRACT

Objectives:

To compare the efficacy, adverse effects and user satisfaction of roller-ball endometrial ablation (RBEA) and levonorgestrel intrauterin system (LNG-IUS) for the treatment of abnormal uterine bleeding (AUB).

Methods:

58 women attending a university hospital clinic in Istanbul,Turkey were randomised to either surgical treatment using RBEA or medical treatment using a LNG-IUS (Mirena, Schering Healthcare). Pictorial bleeding assesment chart (PBAC) scores and hemoglobin levels were noted pre-insertion/operatively and again at one year post-insertion/operatively. Non-parametric tests (Mann-Whitney) and Pearson chi-square test were used for statistical analysis. Ethics Commitee approval was obtained for this study.

Results:

Hemoglobin levels were increased and PBAC scores were reduced in both groups after 1 year of treatment (p<0.05). But there was no statistical difference between the groups.

Conclusion:

Both the RBEA and LNG-IUS are effective in the treatment of AUB. The choice of treatment should be tailored to the woman’s needs and preferences.