Copper and levonorgestrel containing intrauterine devices: comparison of their effect on oxidative stress markers.

Autor: Buyuk GN; Department of Obstetrics and Gynecology, Ministry of Health Ankara City Hospital, Ankara, Turkey., Oskovi-Kaplan ZA; Department of Obstetrics and Gynecology, Ministry of Health Ankara City Hospital, Ankara, Turkey., Kansu-Celik H; Department of Obstetrics and Gynecology, Lokman Hekim Hospital, Ankara, Turkey., Neselioglu S; Department of Clinical Biochemistry, Yildirim Beyazit University, Faculty of Medicine, Ankara, Turkey., Erel O; Department of Clinical Biochemistry, Yildirim Beyazit University, Faculty of Medicine, Ankara, Turkey., Engin-Ustun Y; Department of Obstetrics and Gynecology, Etlik Zübeyde Hanim Women's Health Training and Research Hospital, Ankara, Turkey.
Jazyk: angličtina
Zdroj: Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology [Gynecol Endocrinol] 2021 Apr; Vol. 37 (4), pp. 320-323. Date of Electronic Publication: 2021 Feb 17.
DOI: 10.1080/09513590.2021.1878132
Abstrakt: Objective: We aimed to evaluate the oxidative stress by measuring the thiol-disulfide balance in women who use either T380A or LNG-IUD as a contraceptive method. Material and method: The study included two groups; 30 women with LNG-IUD and 30 women with copper-IUD. Thiol-disulfide homeostasis as a marker of oxidative stress was analyzed before the IUD insertion and on the 6 th month after insertion. Results: The LNG-IUD group had similar native thiol levels with Cu-IUD (293.1 ± 43.5 µmol/l vs. 290.4 ± 42.4 µmol/l respectively, p  = 819). In the copper-IUD group total thiol levels were higher than LNG-IUD group (345.5 ± 58.2 µmol/l vs. 319.5 ± 52.4 µmol/l, p  = .031). A significant increase was observed after 6 months in LNG-IUD patients in terms of disulfide/native thiol (7.9 ± 4.4% vs. 11.2 ± 2.6%, p  = .006), disulfide/total thiol (6.2 ± 1.8% vs. 8.7 ± 1.9%, p  = .004) and Native thiol/total thiol (87.1 ± 12.1% vs. 82.3 ± 8.2%, p  = .004) levels. After 6 months in copper-IUD patients, disulfide (22.3 ± 7.3 µmol/l vs. 27.5 ± 6.9 µmol/l respectively, p  = .006), disulfide/native thiol (7.7 ± 3.8% vs. 9.8 ± 2.4% respectively, p  = .007), disulfide/total thiol (6.4 ± 2.03% vs. 8.2 ± 1.8% respectively, p  = .007) and native thiol/total thiol (86.3 ± 9.4% vs. 83.8 ± 10.6% respectively, p  = .007) levels were increased. Conclusion: An increase in oxidative stress markers were observed in both groups. Studies evaluating the long term subclinical risks of IUD's are needed to understand the outcomes of the increased oxidative stress.
Databáze: MEDLINE
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