Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/2171
Título: Levonorgestrel Intrauterine Device Effectiveness in Heavy Menstrual Bleeding Treatment in Obese Women
Outros títulos: Efetividade do Dispositivo Intra-Uterino de Levonorgestrel no Tratamento de Hemorragia Uterina Anómala em Mulheres Obesas
Autor: Oliveira, N
Rosado, V
Correia, L
Machado, AI
Marques, C
Palavras-chave: MAC GIN
Levonorgestrel
Obesity
Body Mass Index
Bleeding
Menstruation
Data: 2014
Editora: Federação das Sociedades Portuguesas de Obstetrícia e Ginecologia
Citação: Acta Obstet Ginecol Port 2014; 8 (4): 347-353
Resumo: Objective:We aimed to identify if there was any difference in Levonorgestrel-releasing intrauterine system (LNG-IUS) efficacy or weight gain when used in heavy menstrual bleeding (HMB) treatment, between obese and non-obese women. Population and methods: This was a case-controlled retrospective study undertaken between 2002-2007. 194 women with HMB were treated with LNG-IUS and stratified into two groups accordingly with body mass index (BMI): Obese Group – BMI ≥ 30 (n=53) and Non-obese Group – BMI < 30 (n=141). Age, weight, days of spotting and days of menses were analyzed at 1, 3 and 6 months after insertion and then annually until 2 years. Analytic parameters of anemia (hemoglobin, serum ferritin, mean corpuscular volume) were reviewed at pre-insertion, at 6 months and then annually until 2 years. Results: During the 2-year follow-up there was a similar improvement in two groups regarding duration of menses, spotting and in analytic parameters of anemia. A statistically significant improvement was observed in obese group after 2 years of treatment regarding analytic parameters of anemia and menstrual characteristics, without weight gain. Conclusion: In obese women, the LNG-IUS is an effective treatment for heavy menstrual bleeding, without being associated to weight gain.
Peer review: yes
URI: http://hdl.handle.net/10400.17/2171
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