Unlike the NovaSure procedure that is performed only once to control heavy bleeding, a hormone-releasing IUD must be removed and replaced periodically. It should be noted that the hormone-releasing IUD is not approved in the US for the treatment of heavy menstrual bleeding.
1. Hurskainen R, Teperi J, Rissanen P, et al. Clinical outcomes and costs with ther levonorgestrel-releasing intrauterine system of hysterectomy for treatment of menorrhagia: randomized trial 5-year follow-up. JAMA 2004; 291: 1456-1463.
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