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Mirena vs endometrial ablation: which is better for heavy menstrual bleeding?

Randomised controlled trial compares the two treatments in women 45-plus

Women considering the levonorgestrel-releasing intrauterine system (Mirena) to treat heavy menstrual bleeding should be counselled on the likelihood of needing an additional intervention, European research suggests.

dr Rachel Green
Dr Rachel Green

The non-inferiority study, which evaluated LNG-IUS versus endometrial ablation (NovaSure) showed that both treatments are

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