Depo-medroxyprogesterone acetate (DMPA) versus levonorgestrel intrauterine system (LNG-IUS) W.R.T. menstrual pattern changes
Aim: To compare menstrual pattern changes in patients accepting injection DMPA and LNG-IUS for various gynaecological indications.Material and Method: This randomized controlled trial was conducted among 50 women aged 18 years or older with heavy menstrual bleeding in the department of Obstetrics and Gynaecology during September 2017-June 2019. The study comprised of two groups having 35 patients each i.e. Group 1 (patient who opted for LNG IUS) and Group 2 (patient who opted injection DMPA). The menstrual pattern changes were assessed at 1month, 3month and 6th month interval. Patient were asked to maintain a menstrual calendar wherein she would keep a record of the no. of days along with dates when she has spotting per vaginum/bleeding per vaginum and the amount of blood loss explained to her through the pictorial blood assessment chart.Results: Reduction in median menstrual blood loss was significantly greater in the LNG IUS group than in the DMPA group arm (P <.001).Conclusion: LNG IUS reduces menstrual blood loss more effectively than DMPA.