Consecutive Use of the 52 mg Levonorgestrel-releasing Intrauterine System: Variations in Bleeding Patterns
Abstract Objective Changes in bleeding patterns could influence the decisions of healthcare professionals to change the levonorgestrel-releasing intrauterine system (LNG-IUS) before 7 years of use, the recommended period of extended use. We evaluated changes in the bleeding patterns of users of the...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
2020-05-01
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| Series: | Revista Brasileira de Ginecologia e Obstetrícia |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/rbgo/v42n4/1806-9339-rbgo-42-04-0194.pdf |
| _version_ | 1818753278317428736 |
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| author | Barbara Zantut Wittmann Ilza Monteiro Cássia Juliato Arlete Fernandes |
| author_facet | Barbara Zantut Wittmann Ilza Monteiro Cássia Juliato Arlete Fernandes |
| author_sort | Barbara Zantut Wittmann |
| collection | DOAJ |
| description | Abstract Objective Changes in bleeding patterns could influence the decisions of healthcare professionals to change the levonorgestrel-releasing intrauterine system (LNG-IUS) before 7 years of use, the recommended period of extended use. We evaluated changes in the bleeding patterns of users of the 52 mg LNG-IUS at the end of use of the first (IUS-1) and during the second device (IUS-2) use. Methods We performed an audit of the medical records of all women who used two consecutive LNG-IUSs at the Family Planning clinic. We evaluated the sociodemographic/gynecological variables, the length of use, and the bleeding patterns reported in the reference periods of 90 days before removal of the IUS-1 and at the last return in use of IUS-2. We used the McNemar test to compare bleeding patterns. Statistical significance was established at p < 0.05. Results We evaluated 301 women aged (mean ± SD) 32 (±6.1) years, with lengths of use of 68.9 (±16.8) and 20.3 (±16.7) months for the IUS-1 and IUS-2, respectively. No pregnancies were reported. Bleeding patterns varied significantly among women who used the IUS-2 for ≥ 7 months to 6 years when compared the bleeding patterns reported in IUS-1 use. Eighty-nine out of 221 (40%) women maintained amenorrhea and infrequent bleeding; 66 (30%) evolved to bleeding patterns with light flow, and 66 (30%) maintained or evolved to heavy flow patterns (p = 0.012). No differences were observed among the 80 women with ≤ 6 months of use. Conclusion Changes in bleeding patterns occur during the use of LNG-IUS and should not be decisive for the early replacement of the device. |
| first_indexed | 2024-12-18T05:04:49Z |
| format | Article |
| id | doaj.art-d7f8db7c59f74fa0a7e41e0bf69f6b30 |
| institution | Directory Open Access Journal |
| issn | 0100-7203 |
| language | English |
| last_indexed | 2024-12-18T05:04:49Z |
| publishDate | 2020-05-01 |
| publisher | Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
| record_format | Article |
| series | Revista Brasileira de Ginecologia e Obstetrícia |
| spelling | doaj.art-d7f8db7c59f74fa0a7e41e0bf69f6b302022-12-21T21:20:03ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032020-05-0142419419910.1055/s-0040-1708092Consecutive Use of the 52 mg Levonorgestrel-releasing Intrauterine System: Variations in Bleeding PatternsBarbara Zantut Wittmannhttps://orcid.org/0000-0003-2753-1349Ilza Monteirohttps://orcid.org/0000-0002-9536-0564Cássia Juliatohttps://orcid.org/0000-0003-3197-1195Arlete Fernandeshttps://orcid.org/0000-0001-5872-0017Abstract Objective Changes in bleeding patterns could influence the decisions of healthcare professionals to change the levonorgestrel-releasing intrauterine system (LNG-IUS) before 7 years of use, the recommended period of extended use. We evaluated changes in the bleeding patterns of users of the 52 mg LNG-IUS at the end of use of the first (IUS-1) and during the second device (IUS-2) use. Methods We performed an audit of the medical records of all women who used two consecutive LNG-IUSs at the Family Planning clinic. We evaluated the sociodemographic/gynecological variables, the length of use, and the bleeding patterns reported in the reference periods of 90 days before removal of the IUS-1 and at the last return in use of IUS-2. We used the McNemar test to compare bleeding patterns. Statistical significance was established at p < 0.05. Results We evaluated 301 women aged (mean ± SD) 32 (±6.1) years, with lengths of use of 68.9 (±16.8) and 20.3 (±16.7) months for the IUS-1 and IUS-2, respectively. No pregnancies were reported. Bleeding patterns varied significantly among women who used the IUS-2 for ≥ 7 months to 6 years when compared the bleeding patterns reported in IUS-1 use. Eighty-nine out of 221 (40%) women maintained amenorrhea and infrequent bleeding; 66 (30%) evolved to bleeding patterns with light flow, and 66 (30%) maintained or evolved to heavy flow patterns (p = 0.012). No differences were observed among the 80 women with ≤ 6 months of use. Conclusion Changes in bleeding patterns occur during the use of LNG-IUS and should not be decisive for the early replacement of the device.http://www.scielo.br/pdf/rbgo/v42n4/1806-9339-rbgo-42-04-0194.pdflevonorgestrel intrauterine systemconsecutive usebleeding patterns |
| spellingShingle | Barbara Zantut Wittmann Ilza Monteiro Cássia Juliato Arlete Fernandes Consecutive Use of the 52 mg Levonorgestrel-releasing Intrauterine System: Variations in Bleeding Patterns Revista Brasileira de Ginecologia e Obstetrícia levonorgestrel intrauterine system consecutive use bleeding patterns |
| title | Consecutive Use of the 52 mg Levonorgestrel-releasing Intrauterine System: Variations in Bleeding Patterns |
| title_full | Consecutive Use of the 52 mg Levonorgestrel-releasing Intrauterine System: Variations in Bleeding Patterns |
| title_fullStr | Consecutive Use of the 52 mg Levonorgestrel-releasing Intrauterine System: Variations in Bleeding Patterns |
| title_full_unstemmed | Consecutive Use of the 52 mg Levonorgestrel-releasing Intrauterine System: Variations in Bleeding Patterns |
| title_short | Consecutive Use of the 52 mg Levonorgestrel-releasing Intrauterine System: Variations in Bleeding Patterns |
| title_sort | consecutive use of the 52 mg levonorgestrel releasing intrauterine system variations in bleeding patterns |
| topic | levonorgestrel intrauterine system consecutive use bleeding patterns |
| url | http://www.scielo.br/pdf/rbgo/v42n4/1806-9339-rbgo-42-04-0194.pdf |
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