Case 3: (Patient name kept confidential)
Mrs. ABC 46-year-old housewife married with 3 children, complained of heavy irregular bleeding for a year. She did not have any medical issues such as raised blood pressure or Diabetes.
She underwent a detailed check-up, pap smear, blood tests, and sonography all of which were normal except that she had low haemoglobin.
Dr. Sangeeta admitted her to the hospital and she underwent a diagnostic hysteroscopy. The cavity of the uterus was normal. A curettage was done, and the endometrium was sent for histology. The LNG-IUS was inserted after the curettage.
The histology report showed simple hyperplasia. This was reassuring, and the patient was counselled that the LNG-IUS would help resolve the hyperplasia.
The patient had immediate relief from the heavy periods and after one year she did not see any bleeding. After 5 years the FSH levels were in the menopausal range and the LNG-IUS was removed in the clinic.
Also Read:
1- Menopause Case Study: Polyp And LNG IUS.