Background: Heavy menstrual bleeding (HMB) poses threat to the quality of life among women. To prevent HMB, the levonorgestrel-releasing intrauterine system (LNG-IUS) is a well-known nonsurgical, long-performing, and alternative method. Objectives: The objective of this study was to determine the efficacy of LNG-IUS in women with HMB through an analytical observational study. Materials and Methods: This study was performed among 60 patients who visited the gynecology and obstetrics outpatient department (OPD) at the Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital (IPGMER and SSKMH), Kolkata, West Bengal, India from May 2019 to April 2020 due to HMB. The mean demographic and clinical profiles were evaluated, and comparative analysis was performed for hemoglobin (Hb), spotting, pain, and endometrial thickness on day 0 and follow-up 3 months, 6 months, and 12 months. Results: The mean age of patients was 37.77 ± 4.58 years was obtained. The Hb level was significantly (P < .001) increased, whereas pictorial blood loss assessment chart (PBAC) score, endometrial thickness, spotting, and pain were significantly (P < .01 and P < .001) reduced. The majority of patients had pallor, but the rates of spontaneous expulsion and hysterectomy were observed lower after using LNG-IUS among studied patients. Conclusion: the usage of LNG-IUS is potential in the treatment of HMB in women, which may lead to a better quality of life. This can be the alternative to hysterectomy and oral pills for long-term use. It is suggested in a future study with larger sample size and multicentric approach to minimize hospital biasness.

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Aims and Objectives: To determine the impact, efficacy, benefits of such low cost safe technological option (BUAL) in areas where high level surgical interventions are restricted. Methods and Materials: The total sixty six (66)cases have been selected on random basis of which thirty three (33)cases allocated in group A (n=33) (cases) were operated by this method (BUAL) and others in group B (n=33) (controls) were operated by other methods (Bonney's clamp ,tourniquet or vasopressin). Results and Analysis: The results of individual group have been analyzed in the form of primary outcome and secondary outcome. There are statistically significant less blood loss, less transfusion, less operation time with good post-operative recovery and satisfaction by low cost in Gr-A(Cases) compare to Gr-B (Controls). Conclusion: The bilateral uterine artery ligation should be ligated before starting myomectomy not only open but also laparoscopic method to minimize complications.