Findings

What do systematic reviews say?

7 questions · 7 findings · 3 reviews · Gynaecology and Fertility

No studies found 0 · 0%GRADE not reported 0 · 0%Very low 3 · 42.9%Low 3 · 42.9%Moderate 1 · 14.3%High 0 · 0%

Satisfaction · heavy menstrual bleeding

It is very uncertain whether LNG‐IUS changes satisfaction compared with any other medical treatment (very low certainty).

1 finding from 1 review

Progestogen‐releasing intrauterine systems for heavy menstrual bleeding 2020 · Cochrane Headline outcomes only
RR 1.28 [1.01, 1.63]
3 studies · 141 participants
Very low

Satisfaction · women with heavy menstrual bleeding

It is very uncertain whether progestogen therapy (luteal phase only) changes satisfaction compared with other medical therapy (very low certainty).

1 finding from 1 review

Cyclical progestogens for heavy menstrual bleeding 2019 · Cochrane Headline outcomes only
OR 0.8 [0.17, 3.8]
1 study · 52 participants
Very low

Satisfaction · women with heavy menstrual bleeding

Progestogen therapy long cycle (3 to 4 weeks) may leads to lower satisfaction compared with other medical therapy (low certainty).

1 finding from 1 review

Cyclical progestogens for heavy menstrual bleeding 2019 · Cochrane Headline outcomes only
OR 0.31 [0.13, 0.71]
1 study · 95 participants
Low

Overall satisfaction with treatment At 2 years · women with heavy menstrual bleeding

Surgery probably leads to higher overall satisfaction with treatment At 2 years compared with oral medication (moderate certainty).

1 finding from 1 review

Surgery versus medical therapy for heavy menstrual bleeding 2016 · Cochrane Headline outcomes only
RR 1.4 [1.13, 1.74]
1 study · 173 participants
Moderate

Overall satisfaction with treatment At 5 years · women with heavy menstrual bleeding

It is very uncertain whether surgery changes overall satisfaction with treatment At 5 years compared with oral medication (very low certainty).

1 finding from 1 review

Surgery versus medical therapy for heavy menstrual bleeding 2016 · Cochrane Headline outcomes only
RR 1.13 [0.94, 1.37]
1 study · 141 participants
Very low

Satisfaction rate: surgery versus LNG‐IUS Endometrial ablation versus LNG‐IUS At 1 year · women with heavy menstrual bleeding

Surgery showed no clear difference in satisfaction rate: surgery versus LNG‐IUS Endometrial ablation… compared with LNG‐IUS (low certainty).

1 finding from 1 review

Surgery versus medical therapy for heavy menstrual bleeding 2016 · Cochrane Headline outcomes only
RR 1.1 [0.98, 1.24]
5 studies · 332 participants
Low

Satisfaction rate: surgery versus LNG‐IUS Endometrial ablation versus LNG‐IUS At 2 years · women with heavy menstrual bleeding

Surgery showed no clear difference in satisfaction rate: surgery versus LNG‐IUS Endometrial ablation… compared with LNG‐IUS (low certainty).

1 finding from 1 review

Surgery versus medical therapy for heavy menstrual bleeding 2016 · Cochrane Headline outcomes only
RR 0.93 [0.81, 1.08]
2 studies · 117 participants
Low