Abstract:
Women over the age of 40 years, presenting with menorrhagia without any uterine
pathology were selected for the study. They underwent dilation and curettage as a mode of
endometrial sampling under general anaesthesia and at the same time the 3inl-IUS was
inserted in the treatment group. Control groupwas treated with Mefenamic acid after the
DC. They were followed up until 3 months after the treatment. Treatment with the 3inl-IUS
resulted in a significant reduction in menstrual blood loss when assessed with visual
bleeding score (mean =64;SD=54vs, mean -282; SD =3.7vs. mean =8.2 days; SD2.9p=0.000). Prresence of pain in the form of dysmenorrhoea or lower abdominal pain was
increased with 3inl-IUS, although it did not affect the increase in patient satisfaction which
was associated with the new treatment.