Cervical cancer in 2 women with a Mirena®-pitfalls in the assessment of irregular bleeding: a case series
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Authors
Weerd, Sabina de
Westenend, Pieter J.
Kooi, Sjarlot GS
Issue Date
2008-07-26
Type
Article
Language
en_US
Keywords
Cervical Cancer , Mirena®-Pitfalls , Irregular Bleeding
Alternative Title
Abstract
Introduction:
The levonorgestrel-releasing intra-uterine device (Mirena®) is an effective, long term form of contraception that leads to a significant reduction of menstrual bleeding among majority of women. However, irregular bleeding is quite common in initial Mirena® users and may thereby mask underlying cervical pathology.
Case presentation:
Two women with cervical cancer and a Mirena® initially presented with irregular bleeding, posing a diagnostic pitfall which resulted in doctor and patient delay.
Conclusion:
Proper evaluation of irregular vaginal bleeding, including cervical cytology, should be a prerequisite among all women opting for a Mirena® and must be repeated in case of persisting symptoms.
Description
Citation
de Weerd, S., Westenend, P. J., & Kooi, S. G. (2008). Cervical cancer in 2 women with a Mirena(R)-pitfalls in the assessment of irregular bleeding: a case series. Cases journal, 1(1), 62. https://doi.org/10.1186/1757-1626-1-62
Publisher
Cases Journal