Pitfalls In The Assessment Of Irregular Bleeding

April 2017

Cancer

Country of origin: Europe

The 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.

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