Effect of the levonorgestrel-releasing intrauterine system on uterine myomas in a renal transplant patient

The levonorgestrel-releasing intrauterine system (LNG-IUS) has been used in the treatment of both idiopathic menorrhagia and adenomyosis. An electroni c search of the on-line medical literature revealed no reports of its use f or menorrhagia secondary to uterine myomas. Presented here is the successfu l treatment of uterine myomas with menorrhagia in a woman with a renal tran splant. There was a significant reduction in menorrhagia, dysmenorrhea, and uterine and myoma size with the use of the LNG-IUS. We believe that this s ystem provides an alternative to conventional hysterectomy and gonadotrophi n-releasing hormonal analog medical treatment for uterine myomas, with a po ssibly inhibitory effect on myoma growth. CONTRACEPTION 1999;60:51-53 (C) 2 999 Elsevier Science Inc. All rights reserved.