Intrauterine hormonelle Kontrazeption

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Abstract

Levonogestrel-IUS (LNG-IUS) are an innovative hormonal method of contraception. LNG-IUS have the advantages of oral contraceptives and IUD without specific disadvantages of these methods. The contraceptive safety is very high (Pearl-index = 0.16). LNG-IUS can be used in all woman, if the local uterine conditions are given. It is also possible in nulliparous woman, especially in cases of contraindications of other methods. The exclusion of genital infections is very important. A regular PAP-smear not older than 6 months is necessary. A postpartal use of LNG-IUS is possible 6 weeks after birth. LNG-IUS has no influence to lactation, so it is possible to use LNG-IUS also in the period of lactation. The risk of ectopie pregnancy is in LNG-IUS users lower in comparison to women using CU-IUD or no contraception. Bleeding disorders in the first months of LNG-IUS use occurred often, but a treatment is not necessary. In the first months of use LNG-IUS ovarian cysts occurred more often, but in the most of cases no treatment is necessary because they disappear spontaneously. After use of LNG-IUS no disadvantages for fertility are expected, LNG-IUS has also a place in specific situations because LNG-IUS has a lot of therapeutical side effects. LNG-IUS has labelling and is successfully woman suffering from heavy menstrual bleedings. Also in patients with endometriosis or adenomyosis the use of LNG-IUS has clinical advantages. Adenomyosis associated symptoms will be treated by LNG-IUS with a success rate of 70 %. In the perimenopause LNG-IUS is also a good contraceptive option because the endometrial protection effect is useful also for the prevention and treatment of endometrial hyperplasia. The introduction of low dose IUS (Jaydess®) will extent the spectrum of intrauterine contraception. Advantages of Jaydess® are especially the easier insertion in nulliparous women. In comparison to other contraceptive methods IUS have a lot of advantages. © 2013 Springer-Verlag Berlin Heidelberg.

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APA

Römer, T., & Bühling, K. J. (2013). Intrauterine hormonelle Kontrazeption. Gynakologische Endokrinologie, 11(3), 188–196. https://doi.org/10.1007/s10304-012-0532-4

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