Comparison Between Lng Ius Vs Hysterectomy In Management Of Endometriosis

Abstract

Introduction: Adenomyosis is a disorder characterized by the presence of islets within the myometrium that consist of both epithelial and stromal elements of endometrial tissue. In fact, adenomyosis has been referred to as the “neglected diagnosis” and “elusive disease” due to its uncharacteristic clinical profile

Objective: To evaluate the efficacy, safety, and impact on quality of life of LNG-IUS versus hysterectomy in the management of endometriosis. Materials and Methods: The present study was a comparative study. This Study was conducted from 2years at Department of Gynae & OBST Burdawan Medical College, P.O. Rajabati Baburbag, Burdawan 713104. Result: In Mirena, the mean Gravidity (mean± s.d.) of patients was 4.0 (3.0). In Hysterectomy, the mean Gravidity (mean± s.d.) of patients was 5.0 (3.0). Distribution of mean Gravidity with Group was not statistically significant (p=0.729). Conclusion: The LNG-IUS offers a less invasive option with the advantage of preserving reproductive organs and maintaining fertility, making it suitable for women seeking to manage symptoms without undergoing major surgery. In contrast, hysterectomy provides a more definitive treatment for severe cases but comes with considerable implications regarding fertility and long-term hormonal changes. The choice between LNG-IUS and hysterectomy should be individualized based on patient preferences, symptom severity, and reproductive goals.