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Cases J. 2008 Jul 26;1(1):62. doi: 10.1186/1757-1626-1-62.

Cervical cancer in 2 women with a Mirena(R)-pitfalls in the assessment of irregular bleeding: a case series.

Author information

  • 1Department of Obstetrics & Gynaecology, Albert Schweitzer Hospital, Dordrecht, The Netherlands. s.deweerd@planet.nl.

Abstract

INTRODUCTION:

The levonorgestrel-releasing intra-uterine device (Mirena(R)) 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(R) users and may thereby mask underlying cervical pathology.

CASE PRESENTATION:

Two women with cervical cancer and a Mirena(R) 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(R) and must be repeated in case of persisting symptoms.

PMID:
18655728
[PubMed]
PMCID:
PMC2515832
Free PMC Article
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