Journal of pediatric and adolescent gynecology · 2024
Levonorgestrel Intrauterine Device Placement in Uterine Anomalies: A Case Series.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Fowler Kylie G, Elder Eva, Miller Rachel J
Аннотация
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 that 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 5 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 the expulsion rate is high. Early IUD expulsion within 4 weeks of placement could indicate an undiagnosed uterine anomaly.
CASES: We present 5 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 the expulsion rate is high. Early IUD expulsion within 4 weeks of placement could indicate an undiagnosed uterine anomaly.