Insertion of the Mirena Intrauterine System for Treatment of Adenomyosis-Associated Menorrhagia: A Novel Method
| Autor: | Yu Shih Yang, Jehn Hsiahn Yang, Shee-Uan Chen, Ming Yih Wu, Fu Shaing Peng, Hong Nerng Ho |
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| Jazyk: | angličtina |
| Předmět: |
Adult
medicine.medical_specialty Uterine perforation Endometriosis expulsion Levonorgestrel Hemoglobin levels lcsh:Gynecology and obstetrics Health services Mirena Dysmenorrhea menorrhagia Obstetrics and Gynaecology medicine Contraceptive Agents Female Humans Adenomyosis levonorgestrel-releasing intrauterine system lcsh:RG1-991 Retrospective Studies Uterine Diseases Obstetrics Genitalia.female business.industry Genitourinary system Intrauterine Devices Medicated Obstetrics and Gynecology Retrospective cohort study Anemia Intrauterine Device Expulsion Middle Aged medicine.disease humanities Surgery Iud expulsion adenomyosis Female business |
| Zdroj: | Taiwanese Journal of Obstetrics & Gynecology, Vol 49, Iss 2, Pp 160-164 (2010) |
| ISSN: | 1028-4559 |
| DOI: | 10.1016/S1028-4559(10)60034-4 |
| Popis: | Summary Objective Insertion of the levonorgestrel-releasing intrauterine system Mirena is difficult in women with adenomyosis, and the device is often subsequently expelled. We used a novel insertion technique (Yang's method) to overcome this problem. Materials and Methods This retrospective study enrolled 273 patients with adenomyosis who were receiving Mirena for treatment of menorrhagia and/or dysmenorrhea between 2001 and 2008. Clinical outcomes and expulsion rates were compared between patients treated using conventional insertion and those treated using Yang's insertion methods. Results Expulsion occurred in 25.3% of patients with the conventional method, compared with 10.2% of patients with Yang's method. Hemoglobin levels and dysmenorrhea improved greatly in both groups after Mirena insertion. Conclusion Yang's insertion method for levonorgestrel-releasing intrauterine system is more reliable in some difficult cases, such as patients with severe adenomyosis. This method ensures correct positioning, thus reducing the risks of uterine perforation and/or expulsion. |
| Databáze: | OpenAIRE |
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