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Menstrual bleeding treatments scrutinised

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More women treated for heavy menstrual bleeding are dissatisfied after endometrial destruction than after hysterectomy, according to researchers from Birmingham.

Hysterectomy is also associated with increased length of stay in hospital and a longer recovery period.

The researchers set out to evaluate the effectiveness of hysterectomy, endometrial destruction and the levonorgestrel releasing intrauterine system (Mirena) in the treatment of heavy menstrual bleeding.

Their research looked at 17 trials, involving 2,814.

They added that definitive evidence on the effectiveness of Mirena compared with more invasive procedures was lacking.

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