Levonorgestrel Intrauterine Device: A Boon for Perimenopausal Heavy Menstrual Bleeding

Heavy menstrual bleeding during perimenopause can be a distressing experience. For many women, this phase comes with irregular cycles, hormonal changes, and sometimes severe blood loss that affects daily life. Traditionally, surgical interventions like hysterectomy were considered the go-to solution. However, the Levonorgestrel Intrauterine Device (LNG-IUD) has emerged as a non-surgical, hormone-based treatment offering relief to selected women.

At Sneh Fertility & Urology Center, Udaipur, our gynecology expert Dr. Ruchita Ranka offers personalized and evidence-based solutions for menstrual problems, including the use of the LNG-IUD.

What Is the Levonorgestrel IUD?

The Levonorgestrel IUD is a small, T-shaped device inserted into the uterus. It releases a low dose of levonorgestrel (a type of progestin) directly into the uterine lining. This hormone reduces the thickness of the endometrium, resulting in lighter menstrual bleeding and fewer symptoms.

Why Is It a Game-Changer for Perimenopausal Women?

1. Reduces Heavy Bleeding

Most women experience a significant reduction in menstrual blood loss within a few months of insertion.

2. Non-Surgical Option

The LNG-IUD provides a conservative alternative to procedures like hysterectomy or endometrial ablation.

3. Long-Term Effectiveness

A single device can be effective for up to 5 years, making it a convenient and cost-effective solution.

4. Fewer Systemic Side Effects

As the hormone is released locally in the uterus, the risk of systemic side effects is minimal compared to oral hormone therapy.

5. Also Works as contraceptive

It offers dual benefits—treating abnormal bleeding and providing birth control if needed.

Careful Patient Selection Is Key

While the LNG-IUD offers multiple benefits, not all women are suitable candidates. Patient selection must be based on:

  • Absence of uterine abnormalities (like fibroids distorting the cavity)
  • No active pelvic infection
  • No suspicion of endometrial cancer or hyperplasia
  • Tolerance to hormonal treatment

     

This is where expert evaluation plays a vital role. At Sneh Fertility & Urology Center, a thorough history, examination, and ultrasound are conducted before recommending the IUD.

Avoiding Surgery with the Right Guidance

Women who are not mentally or physically prepared for surgery can benefit immensely from this therapy. It can stabilize menstrual patterns, improve hemoglobin levels, and provide relief from anemia—all without the risks of anesthesia or surgical recovery.

Consult the Experts in Udaipur

Dr. Ruchita Ranka has helped numerous perimenopausal women regain control over their health through hormonal IUD therapy. Her individualized care ensures the treatment suits your needs and comfort.

For many perimenopausal women, the Levonorgestrel IUD is a safe, effective, and uterus-sparing option for managing heavy menstrual bleeding. When selected wisely, it can significantly improve quality of life and eliminate the need for surgery.

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