International Medical Research Frontier

Objective To investigate the effect of hysteroscopy drospirenone, Mirena on abnormal uterine bleeding (UB). Methods A total of 100 AUB patients were enrolled in our hospital from January 2024 to December 2024. They were divided into 2 groups of 50 cases each using the random number method. The control group underwent hysteroscopic lesion resection surgery oral drospirenone after operation, and the observation group underwent hysteroscopic lesion resection surgery Mirena placement after the operation. The intervention effect was compared. Results Menorrhagia: After intervention, the score decreased, observation group < control group (P < 0.05). Endometrial thickness: At 3 months after treatment, the of each group decreased, observation group < control group (P < 0.05). Incidence of adverse reactions: 12.00% in the control and 18.00% in the observation group, with no statistically significant difference (P > 0.05). Conclusion Hysteroscopy combined drospirenone or Mirena can effectively treat AUB, among which hysteroscopy combined with Mirena has a better effect on improving symptoms, and has good safety which is worth promoting in clinic.

Abnormal uterine bleeding; Hysteroscopy; Dienogest; Manlunle