Pitfalls In The Assessment Of Irregular Bleeding
Country of origin: Europe
Click for Full Details: www.casesjournal.comThe levonorgestrel-releasing intra-uterine device Mirena is an effective, long term form of contraception that leads to a significant reduction of menstrual bleeding among majority of women. However, irregular bleeding is quite common in initial Mirena users and may thereby mask underlying cervical pathology.
A recently published case study involves two women with cervical cancer and a Mirena initially presented with irregular bleeding, posing a diagnostic pitfall which resulted in doctor and patient delay.
The report concludes that proper evaluation of irregular vaginal bleeding, including cervical cytology, should be a prerequisite among all women opting for a Mirena and must be repeated in case of persisting symptoms.
The complete article is available as a provisional PDF.
Click for Full Details: www.casesjournal.com
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