Evaluating Levonorgestrel Intrauterine System (Mirena) Usage in Rural India for AUB and Prevention of Hysterectomy

Abnormal uterine bleeding AUB is a common gynaecological complaint, especially among perimenopausal women, and often requires surgical intervention like hysterectomy. However, conservative treatments are increasingly preferred to manage costs and preserve fertility. This study, conducted at a district hospital in Pulwama, evaluated the efficacy of the Levonorgestrel Intrauterine System Mirena in 100 women aged 4055 suffering from AUB. Mirena significantly reduced menstrual blood loss, with 60% of women achieving amenorrhea by two years. The device improved haemoglobin levels, had a high satisfaction rate of 85%, and offered a viable nonsurgical alternative to hysterectomy. Minor side effects were noted but did not require intervention in most cases. These findings demonstrate that Mirena is an effective and cost - efficient treatment for AUB, particularly in rural settings with limited access to surgical options.