左炔诺孕酮宫内节育器放置在子宫异常：一个病例系列。

IF 1.7 4区医学 Q3 OBSTETRICS & GYNECOLOGY Journal of pediatric and adolescent gynecology Pub Date : 2024-12-21 DOI:10.1016/j.jpag.2024.12.014

Kylie G Fowler, Eva Elder, Rachel J Miller

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引用次数: 0

摘要

背景：左炔诺孕酮宫内节育器（iud）提供了有效的避孕和医疗效益。即使对病情严重复杂的病人来说，它们也是安全的。美国疾病控制与预防中心（CDC）的医疗资格标准（MEC）规定宫内节育器是子宫腔扭曲人群的第4类，然而以前有成功使用宫内节育器的病例报告。病例：我们报告了5例宫内节育器在子宫异常应用超声或宫腔镜腔内放置确认。在长达4年半的随访中，我们的开除率是40%。在那些取出宫内节育器的患者中，取出发生在放置宫内节育器后4周内。结论：宫内节育器用于子宫畸形是可行的，一般是安全的，但排出率高。宫内节育器放置4周内早期脱落可能提示未确诊的子宫异常。

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LEVONORGESTREL INTRAUTERINE DEVICE PLACEMENT IN UTERINE ANOMALIES: A CASE SERIES.

Background: Levonorgestrel intrauterine devices (IUDs) provide effective contraception and medical benefits. They are safe for even severely medically complex patients. The CDC Medical Eligibility Criteria (MEC) states IUDs are category 4 for people with uterine cavity distortions, however there are previous case reports of their successful use in this population.

Cases: We present five cases of IUD use in uterine anomalies utilizing ultrasound or hysteroscopy for intra-cavitary placement confirmation. With up to 4.5 years of follow up, our expulsion rate is 40%. In those whose IUDs were expelled, the expulsion happened within 4 weeks of placement.

Conclusion: IUD use in uterine anomalies is possible and generally safe but expulsion is high. Early IUD expulsion within 4 weeks of placement could indicate undiagnosed uterine anomaly.

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来源期刊

Journal of pediatric and adolescent gynecology 医学-妇产科学

CiteScore

3.90

自引率

11.10%

发文量

251

审稿时长

57 days

期刊介绍： Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology. The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.