Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/197859
Type: Artigo de periódico
Title: Levonorgestrel-releasing Intrauterine System: Uses And Controversies.
Author: Bahamondes, Luis
Bahamondes, M Valeria
Monteiro, Ilza
Abstract: This article provides a perspective on the use of the levonorgestrel-releasing intrauterine system as a contraceptive method and as therapy in different situations, as well as presenting the corresponding controversies and unresolved issues. All studies have reported high contraceptive efficacy, an improvement in menstrual blood loss in women with idiopathic menorrhagia, menorrhagia due to thrombophilic diseases and fibroids, and excellent endometrial protection during postmenopausal estrogen therapy. Moreover, the device is able to reduce pelvic pain and dysmenorrhea as well as improve the staging of endometriosis and adenomyosis, and to control, albeit partially, endometrial hyperplasia. The expectation is that in years to come the number of hysterectomies and female sterilizations will fall due to increased use of the device, including use by patients with endometriosis and HIV-positive women. It would also be desirable to develop a smaller device for postmenopausal women and nulligravidas.
Subject: Contraception
Contraceptive Agents, Female
Endometrial Hyperplasia
Endometriosis
Endometrium
Estrogen Replacement Therapy
Female
Genital Diseases, Female
Hiv Infections
Humans
Intrauterine Devices, Medicated
Leiomyoma
Levonorgestrel
Menorrhagia
Risk Assessment
Thrombophilia
Treatment Outcome
Uterine Neoplasms
Rights: fechado
Identifier DOI: 10.1586/17434440.5.4.437
Address: http://www.ncbi.nlm.nih.gov/pubmed/18573044
Date Issue: 2008
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

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