The PBAC recommended extending the listing based on cost-minimisation compared with hysterectomy. Treatment with a levonorgestrel-releasing intrauterine device may not be a lasting alternative to hysterectomy for menorrhagia.2 However, it offers women a more conservative option that will allow them to become pregnant on removal of the device.
- Australian Government Department of Health and Ageing PBB. March 2007 PBAC Outcomes — Positive Recommendations. http://www.health.gov.au/internet/wcms/publishing.nsf/Content/pbacrec-mar07-positive#lev (accessed 18 May 2007).
- Hurskainen R, Teperi J, Rissanen P, et al. Clinical outcomes and costs with the levonorgestrel-releasing intrauterine system or hysterectomy for treatment of menorrhagia: Randomized trial 5-year follow-up. JAMA 2004;291:1456-63.