| Insertion of the Mirena intrauterine system for treatment of adenomyosis-associated menorrhagia: a novel method. | |
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MedLine Citation:
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PMID: 20708521 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Fu-Shaing Peng; Ming-Yih Wu; Jehn-Hsiahn Yang; Shee-Uan Chen; Hong-Nerng Ho; Yu-Shih Yang |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Taiwanese journal of obstetrics & gynecology Volume: 49 ISSN: 1875-6263 ISO Abbreviation: Taiwan J Obstet Gynecol Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-08-16 Completed Date: 2010-12-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101213819 Medline TA: Taiwan J Obstet Gynecol Country: China |
Other Details:
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Languages: eng Pagination: 160-4 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Taiwan Association of Obstetrics and Gynecology. Published by Elsevier B.V. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Taipei, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anemia / etiology, therapy Contraceptive Agents, Female / administration & dosage Dysmenorrhea / etiology, therapy Endometriosis / complications* Female Humans Intrauterine Device Expulsion Intrauterine Devices, Medicated* Levonorgestrel / administration & dosage Menorrhagia / etiology, therapy* Middle Aged Retrospective Studies Uterine Diseases / complications* |
| Chemical | |
Reg. No./Substance:
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0/Contraceptive Agents, Female; 797-63-7/Levonorgestrel |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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