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Correspondence
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Volume 341:541 August 12, 1999 Number 7
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Levonorgestrel-Releasing Intrauterine Device for the Treatment of Menometrorrhagia in a Woman on Hemodialysis

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To the Editor: A 25-year-old nulliparous woman was admitted to our hospital for recurrent menometrorrhagia and secondary anemia. She had received a renal transplant for infantile polycystic kidney associated with congenital hepatic fibrosis that was complicated by hepatitis C, but for two years she had been undergoing hemodialysis for chronic renal insufficiency after numerous episodes of transplant rejection. Since starting dialysis, she had had frequent episodes of menometrorrhagia, which was treated with oral progestins with partial success.

At admission, the patient's hematocrit was 17.4 percent, and the hemoglobin concentration was 5.9 g per deciliter. Transvaginal ultrasonography showed a dyshomogeneous endometrium, . . . [Full Text of this Article]

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