RecruitingPhase 3ACTRN12608000029392

Mirena Intra-Uterine System: Does it Improve Long Term Symptoms in Women with Chronic Pelvic Pain and/or Endometriosis after Laparoscopy?

Mirena Intra-Uterine System: Does it Improve Long Term Symptoms in Women with Chronic Pelvic Pain and/or Endometriosis after Laparoscopy? A multicentre randomized placebo-controlled trial


Sponsor

University of Sydney

Enrollment

300 participants

Start Date

Oct 1, 2009

Study Type

Interventional

Conditions

Summary

The null hypothesis is: Women with pelvic pain and or dysmenorrhoea who undergo laparoscopy and insertion of Mirena IUS will have a reduction in symptoms of at least 50% at 12 months follow-up (primary point).


Eligibility

Sex: FemalesMin Age: 18 YearssMax Age: 45 Yearss

Inclusion Criteria1

  • All women with pelvic pain and or dysmenorrhoea

Exclusion Criteria12

  • Acute pelvic inflammatory disease (PID) and or positive swab for Chlamydia +/- Gonorrhea
  • Chronic PID as defined by the presence of tubal damage (hydrosalpinx, hydrosalpinges) noted at surgery
  • Breast feeding women
  • Positive pregnancy urinary test or plan for a pregnancy within 12 months after enrollment
  • Previous hysterectomy
  • Contraindications to laparoscopy and/or anesthesia
  • Contraindication to the use of IUS according to WHO criteria
  • Hormonal treatment within the last three months
  • Malignancies
  • Known ovarian cysts other than endometriotic
  • Intention to use other medical treatment that may affect pelvic pain scores within 12 month
  • Use of hormonal treatments in the last three months prior to trial recruitment

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Interventions

Mirena is a levonorgestrel-releasing intrauterine system, which consists of a T-shaped polyethylene frame (T-body) with a steroid reservoir. The reservoir consists of a cylinder, made of a mixture of

Mirena is a levonorgestrel-releasing intrauterine system, which consists of a T-shaped polyethylene frame (T-body) with a steroid reservoir. The reservoir consists of a cylinder, made of a mixture of levonorgestrel and silicone containing a total of 52 mg levonorgestrel. Low doses of levonorgestrel can be administered into the uterine cavity with the MIRENA intrauterine delivery system. Initially, levonorgestrel is released at a rate of approximately 20 µg/day. This rate decreases progressively to half that value after 5 years.


Locations(1)

Australia

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ACTRN12608000029392