еще: положительная динамика через 3 мес., но не без риска осложнений
40 women with HMB receiving VKAs after cardiac valve replacement. Patients were randomly assigned to LNG-IUS or to a no-treatment group. In the LNG-IUS group, there was a significant decrease in the pictorial blood assessment chart bleeding score and the number of bleeding days per cycle at 3 and 6 months compared with baseline pre-insertion, whereas no change was noted in the control group. The mean of hemoglobin and ferritin levels were significantly increased at 3 months but not at 6 months in those randomly assigned to LNG-IUS.
LNG-IUS may increase pelvic pain and breast tenderness.
Breakthrough bleeding often occurs in the first 3 to 6 months.
Other serious but rare complications of LNG-IUS include pelvic infection, device expulsion, and uterine perforation.
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