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Table 1 Indications for premature removal of the Mirena IUS

From: The treatment of dysfunctional uterine bleeding with the Mirena IUS: a survival analysis

References Unacceptable bleeding Pelvic pain Other symptoms
This study 50% (9/18) 50% (9/18) 39%
Hurskainen et al. [1] 70% (42/60) 10% (6/60) 33%a
Nagrani et al. [2] 48% (11/23) 39% (9/23) 35%b
Kittelsen and Istre [3] 50% (3/6) 33% (2/6) 17 %c
Lahteenmaki et al. [4] 58% (7/12) 25% (3/12) 33%d
  1. aProgestogenic symptoms including depression
  2. bOther reasons, but not releated to progestogenic side effects
  3. cSkin changes
  4. dProgestogenic symptoms and personal reasons
  5. (Some women cited more than one side effect as the indication for removal)