Question:
If I have bothersome bleeding from the uterus, does an intrauterine device (IUD) work about as well as hysterectomy?
Answer:
Yes
MedHead Confidence Score: 4
Amount Saved: $43,000 cost for abdominal hysterectomy
MedHead Message:
If you are having bothersome uterine bleeding that is non cancerous, consider an intrauterine device before a hysterectomy. An IUD is effective, and reversible. A hysterectomy, while effective, is not reversible, is expensive, and is subject to some pretty significant post operative problems. If your doctor only mentions a hysterectomy as a solution, get a second opinion. Uterine ablation is also an effective treatment. Save yourself some money to put toward the swimming pool you’ve always wanted.
References:
- 1. Pleun Beelen, Marian J. van den Brink, Malou C. Herman, et. al. Levonorgestrel-releasing intrauterine system versus endometrial ablation for heavy menstrual bleeding, American Journal of Obstetrics and Gynecology, Volume 224, Issue 2, 2021, Pages 187.e1-187.e10, ISSN 0002-9378 https://doi.org/10.1016/j.ajog.2020.08.016.
- 2. Wright KN, Jonsdottir GM, Jorgensen S, Shah N, Einarsson JI. Costs and outcomes of abdominal, vaginal, laparoscopic and robotic hysterectomies. JSLS. 2012 Oct-Dec;16(4):519-24. doi: 10.4293/108680812X13462882736736. PMID: 23484557; PMCID: PMC3558885.
- 3. Barkha A. Bafna*, Amit N. Bafna. Levonorgestrel intrauterine system in menorrhagiaan effective and acceptable alternative. Int J Reprod Contracept Obstet Gynecol. 2021 Apr;10(4):1665-1670.
