کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3915351 1251502 2009 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A nationwide cohort study of the use of the levonorgestrel intrauterine device in New Zealand adolescents
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
A nationwide cohort study of the use of the levonorgestrel intrauterine device in New Zealand adolescents
چکیده انگلیسی

BackgroundWhile the use of the levonorgestrel intrauterine device (LNG-IUD) is well established in the adult population, there have been no research studies specifically on the use of the LNG-IUD in adolescents.Study DesignA nationwide cohort study of 179 adolescents in New Zealand using the LNG-IUD, by means of a follow-up questionnaire to their practitioner, was conducted to determine the indications for insertion of the LNG-IUD and to establish patterns of use, including duration of use and reasons for removal.ResultsThe study, with a 94% response rate, demonstrated that the most common indication for use was menorrhagia (17%); 29% of adolescents had an “off-label” primary indication. There was a 1-year continuation rate of 85%. The cumulative incidence of expulsion was 8%.ConclusionThe results of this study should be reassuring for practitioners and adolescents considering use of the LNG-IUD. However, further research is required into the safety and efficacy of the LNG-IUD in adolescents especially in the management of off-label indications.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Contraception - Volume 79, Issue 6, June 2009, Pages 433–438
نویسندگان
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