Indications and reasons for discontinuing the levonorgestrel-releasing intrauterine system (LNG-IUS)
Main Author: | |
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Publication Date: | 2020 |
Other Authors: | , , , , |
Format: | Article |
Language: | eng |
Source: | Revista Brasileira de Saúde Materno Infantil (Online) |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000200479 |
Summary: | Abstract Objectives: to identify the main indications and reasons for discontinuing the use of the Levonorgestrel-Releasing Intrauterine System (LNG-IUS). Methods: a cross-sectional study was carried out from medical records of 327 women who used the LNG-IUS 52mg between January 2011 and December 2016 at a public hospital in the Northeast of Brazil. Results: the main indications for the use of the LNG-IUS were: contraception (32.7%), myoma/metrorrhagia (28.7%) and endometriosis/pelvic pain (22.3%). Of the 327 women, 68 (20.8%) had discontinued using the device. The most frequent reasons for discontinuation were: expulsion (9.2%), LNG-IUS expiration (3.7%), bleeding (2.4%) and pain (1.5%). Most patients had no difficulty in the insertion and did not require anesthesia/sedation. Among the 30 women who expelled the device, 17 (56.7%) had used it for metrorrhagia and myoma, 8 (26.7%) for contraception, and 5 (16.6%) for endometriosis/pelvic pain. Conclusions: the LNG-IUS is a well-accepted contraceptive method, with therapeutic applications for some gynecological conditions and a low expulsion rate. |
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Indications and reasons for discontinuing the levonorgestrel-releasing intrauterine system (LNG-IUS)ContraceptionContraceptive effectivenessLevonorgestrelLong-acting reversible contraceptionProgesterone-releasing intrauterine devicesAbstract Objectives: to identify the main indications and reasons for discontinuing the use of the Levonorgestrel-Releasing Intrauterine System (LNG-IUS). Methods: a cross-sectional study was carried out from medical records of 327 women who used the LNG-IUS 52mg between January 2011 and December 2016 at a public hospital in the Northeast of Brazil. Results: the main indications for the use of the LNG-IUS were: contraception (32.7%), myoma/metrorrhagia (28.7%) and endometriosis/pelvic pain (22.3%). Of the 327 women, 68 (20.8%) had discontinued using the device. The most frequent reasons for discontinuation were: expulsion (9.2%), LNG-IUS expiration (3.7%), bleeding (2.4%) and pain (1.5%). Most patients had no difficulty in the insertion and did not require anesthesia/sedation. Among the 30 women who expelled the device, 17 (56.7%) had used it for metrorrhagia and myoma, 8 (26.7%) for contraception, and 5 (16.6%) for endometriosis/pelvic pain. Conclusions: the LNG-IUS is a well-accepted contraceptive method, with therapeutic applications for some gynecological conditions and a low expulsion rate.Instituto de Medicina Integral Prof. Fernando Figueira2020-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000200479Revista Brasileira de Saúde Materno Infantil v.20 n.2 2020reponame:Revista Brasileira de Saúde Materno Infantil (Online)instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)instacron:IMIPFF10.1590/1806-93042020000200009info:eu-repo/semantics/openAccessPires,Maria Luíza LemosSouza,Ariani ImpieriDantas,Maria Luisa Borges RorizSoriano,Gabriela DelgadoHenriques,Cláudia VianaFerreira,Ana Laura Carneiro Gomeseng2020-10-28T00:00:00Zoai:scielo:S1519-38292020000200479Revistahttp://www.scielo.br/rbsmihttps://old.scielo.br/oai/scielo-oai.php||revista@imip.org.br1806-93041519-3829opendoar:2020-10-28T00:00Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)false |
dc.title.none.fl_str_mv |
Indications and reasons for discontinuing the levonorgestrel-releasing intrauterine system (LNG-IUS) |
title |
Indications and reasons for discontinuing the levonorgestrel-releasing intrauterine system (LNG-IUS) |
spellingShingle |
Indications and reasons for discontinuing the levonorgestrel-releasing intrauterine system (LNG-IUS) Pires,Maria Luíza Lemos Contraception Contraceptive effectiveness Levonorgestrel Long-acting reversible contraception Progesterone-releasing intrauterine devices |
title_short |
Indications and reasons for discontinuing the levonorgestrel-releasing intrauterine system (LNG-IUS) |
title_full |
Indications and reasons for discontinuing the levonorgestrel-releasing intrauterine system (LNG-IUS) |
title_fullStr |
Indications and reasons for discontinuing the levonorgestrel-releasing intrauterine system (LNG-IUS) |
title_full_unstemmed |
Indications and reasons for discontinuing the levonorgestrel-releasing intrauterine system (LNG-IUS) |
title_sort |
Indications and reasons for discontinuing the levonorgestrel-releasing intrauterine system (LNG-IUS) |
author |
Pires,Maria Luíza Lemos |
author_facet |
Pires,Maria Luíza Lemos Souza,Ariani Impieri Dantas,Maria Luisa Borges Roriz Soriano,Gabriela Delgado Henriques,Cláudia Viana Ferreira,Ana Laura Carneiro Gomes |
author_role |
author |
author2 |
Souza,Ariani Impieri Dantas,Maria Luisa Borges Roriz Soriano,Gabriela Delgado Henriques,Cláudia Viana Ferreira,Ana Laura Carneiro Gomes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Pires,Maria Luíza Lemos Souza,Ariani Impieri Dantas,Maria Luisa Borges Roriz Soriano,Gabriela Delgado Henriques,Cláudia Viana Ferreira,Ana Laura Carneiro Gomes |
dc.subject.por.fl_str_mv |
Contraception Contraceptive effectiveness Levonorgestrel Long-acting reversible contraception Progesterone-releasing intrauterine devices |
topic |
Contraception Contraceptive effectiveness Levonorgestrel Long-acting reversible contraception Progesterone-releasing intrauterine devices |
description |
Abstract Objectives: to identify the main indications and reasons for discontinuing the use of the Levonorgestrel-Releasing Intrauterine System (LNG-IUS). Methods: a cross-sectional study was carried out from medical records of 327 women who used the LNG-IUS 52mg between January 2011 and December 2016 at a public hospital in the Northeast of Brazil. Results: the main indications for the use of the LNG-IUS were: contraception (32.7%), myoma/metrorrhagia (28.7%) and endometriosis/pelvic pain (22.3%). Of the 327 women, 68 (20.8%) had discontinued using the device. The most frequent reasons for discontinuation were: expulsion (9.2%), LNG-IUS expiration (3.7%), bleeding (2.4%) and pain (1.5%). Most patients had no difficulty in the insertion and did not require anesthesia/sedation. Among the 30 women who expelled the device, 17 (56.7%) had used it for metrorrhagia and myoma, 8 (26.7%) for contraception, and 5 (16.6%) for endometriosis/pelvic pain. Conclusions: the LNG-IUS is a well-accepted contraceptive method, with therapeutic applications for some gynecological conditions and a low expulsion rate. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000200479 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000200479 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-93042020000200009 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto de Medicina Integral Prof. Fernando Figueira |
publisher.none.fl_str_mv |
Instituto de Medicina Integral Prof. Fernando Figueira |
dc.source.none.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil v.20 n.2 2020 reponame:Revista Brasileira de Saúde Materno Infantil (Online) instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) instacron:IMIPFF |
instname_str |
Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
instacron_str |
IMIPFF |
institution |
IMIPFF |
reponame_str |
Revista Brasileira de Saúde Materno Infantil (Online) |
collection |
Revista Brasileira de Saúde Materno Infantil (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
repository.mail.fl_str_mv |
||revista@imip.org.br |
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1752129930352656384 |