https://scholars.lib.ntu.edu.tw/handle/123456789/460284
Title: | Insertion of the Mirena Intrauterine System for Treatment of Adenomyosis-Associated Menorrhagia: A Novel Method | Authors: | Peng F.-S MING-YIH WU JEHN-HSIAHN YANG SHEE-UAN CHEN HONG-NERNG HO YU-SHIH YANG |
Issue Date: | 2010 | Journal Volume: | 49 | Journal Issue: | 2 | Start page/Pages: | 160-164 | Source: | Taiwanese Journal of Obstetrics and Gynecology | Abstract: | 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. ? 2010 Taiwan Association of Obstetrics and Gynecology. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/460284 | ISSN: | 1028-4559 | DOI: | 10.1016/S1028-4559(10)60034-4 | SDG/Keyword: | diane; hemoglobin; levonorgestrel; adenomyosis; adult; article; clinical assessment; controlled study; dysmenorrhea; female; hemoglobin blood level; human; intermethod comparison; major clinical study; menorrhagia; menstruation; myometrium; outcome assessment; retrospective study; risk reduction; spotting; uterine bleeding pattern; uterus bleeding; uterus disease; uterus expulsion; uterus perforation; Adult; Anemia; Contraceptive Agents, Female; Dysmenorrhea; Endometriosis; Female; Humans; Intrauterine Device Expulsion; Intrauterine Devices, Medicated; Levonorgestrel; Menorrhagia; Middle Aged; Retrospective Studies; Uterine Diseases |
Appears in Collections: | 醫學系 |
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