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The World in Medicine
May 13, 1998

IUD vs Hysterectomy

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JAMA. 1998;279(18):1429. doi:10.1001/jama.279.18.1429-JWM80002-3-1

A hormone-releasing intrauterine device (IUD) may offer an attractive alternative to hysterectomy for women contemplating surgery for menorrhagia.

A multicenter study in Finland, published April 11 in BMJ, included 56 women scheduled for hysterectomies because of excessive uterine bleeding. Half received the IUD containing levonorgestrel and half continued their current treatment. Six months later, nearly two thirds of the women in the IUD group decided against the surgery. Only 14% of the controls canceled their operations.

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