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If I have bothersome bleeding from the uterus, does an intrauterine device (IUD) work about as well as hysterectomy?


MedHead Confidence Score: 4
Amount Saved: $43,000 cost for abdominal hysterectomy post


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.


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.


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