Yıl: 2016 Cilt: 31 Sayı: 4 Sayfa Aralığı: 278 - 281 Metin Dili: İngilizce DOI: 10.5222/MMJ.2016.278 İndeks Tarihi: 06-07-2020

Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience

Öz:
Abnormal uterine bleeding is a common cause for visits to gynecology polyclinics and one of the treatment options is levonorgestrelcontaining intrauterine device (LNG IUD; Mirena®). The aim of thisstudy is to evaluate patient satisfaction following insertion of Mirena® in women with the indication of abnormal uterine bleeding andto share our data concerning the use of Mirena. The study populationof this retrospective study consisted of women with the diagnosisof dysfuntional abnormal uterine bleeding with Mirena® insertedbetween 1 January 2015-31 December 2015. Information about age,obstetric and gynecologic history of the patients, histologic diagnosisof endometrial sampling, pelvic ultrasound reports were retrievedfrom medical records of the patients. Afterwards, interviews on phone were conducted. Patient satisfaction, complications, rate of amenorrhea, rate of expulsion or displacement, need for removal and ifremoved the treatment modality preferred were noted. Patient satisfaction was assessed by a scale of four as not satisfied, satisfied, verysatisfied and extremely satisfied. A total of 61 Mirena® were insertedduring study period and 50 patients were included in the study. Wecould interview with 31 patients on phone. No complication occurredrelated to vaginal insertion of Mirena® Twelve patients were amenorrheic, 4 patients oligomenorrheic, 4 patients were complaining ofmetrorrhagia (spotting). Displacement of Mirena® did not occur, however in 6.45%. of the patients Mirena® came out accidentally. Fourpatients wanted their Mirena® to be removed. Eight patients were“not satisfied” at all, the other patients were satisfied from the treatment. As a result, Mirena® was overall a well-tolerated treatmentmodality and around three-quarter of the patients with Mirena® inserted for the treatment of abnormal uterine bleeding are satisfiedfrom the treatment.
Anahtar Kelime:

Disfonksiyonel uterin kanamada levonorgestrel içeren rahim içi araç (Mirena®) kullanımı, hastaların memnuniyeti ve deneyimimiz

Öz:
Anormal uterin kanama jinekoloji polikliniklerine yapılan başvuruların önemli bir nedenidir. Tedavi yöntemlerinden biri de levonorgestrel içeren rahim içi araçtır (Mirena®). Bu çalışmanın amacı, anormal uterin kanama endikasyonu ile Mirena® uygulanan hastaların memnuniyetini değerlendirmek ve Mirena® tedavisi ile ilgili deneyimimizi paylaşmaktır. Bu retrospektif çalışmaya disfonksiyonel uterin kanama tanısı ile 1 Ocak 2015 - 31 Aralık 2015 tarihleri arasında Mirena® uygulanan hastalar alınmıştır. Hastaların yaşları, obstetrik ve jinekolojik anamnezleri, endometrial örnekleme sonuçları, pelvik ultrason raporları kayıtlardan elde edilmiştir. Sonrasında hastalara telefon ile ulaşıldı. Hastaların memnuniyetleri, komplikasyonlar, amenore oranı, Mirena®’nın düşme veya kayma oranı, Mirena® çıkartma gerekliliği ve eğer çıkartıldı ise sonra tercih edilen tedavi kaydedildi. Hasta memnuniyeti “hiç memnun değil”, “memnun”, “çok memnun”, “kesinlikle çok memnun” olarak dört tercihli soru ile değerlendirildi. Çalışma sürecinde toplam 61 Mirena® uygulandı. Çalışmaya alınma kriterlerini 50 hasta karşıladı, telefon ile 31 hastaya ulaşıldı. Mirena® uygulaması ile alakalı komplikasyon gelişmedi. On iki hasta amenoreik, 4 hasta oligomenoreik olmuştu, 4 hasta lekelenmeden yakınıyordu. Mirena® kayması hiç olmadı fakat Mirena® düşme oranı %6,45 olarak saptandı. Dört hasta Mirena®’nın çıkartılmasını istedi. Sekiz hasta hiç memnun olmadığını belirtti, diğer hastalar Mirena® tedavisinden memnundu. Sonuç olarak, Mirena® iyi tolere edilen bir tedavi yöntemidir ve disfonksiyonel kanama nedeni ile Mirena® uygulanan hastaların ¾’ü bu tedaviden memnun kalmaktadır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA KARAMUSTAFAOĞLU BALCI B, HOCAOĞLU M, GOYNÜMER F, GÖÇMEN A (2016). Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience. , 278 - 281. 10.5222/MMJ.2016.278
Chicago KARAMUSTAFAOĞLU BALCI Burçin,HOCAOĞLU Meryem,GOYNÜMER FIKRET GOKHAN,GÖÇMEN Ahmet Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience. (2016): 278 - 281. 10.5222/MMJ.2016.278
MLA KARAMUSTAFAOĞLU BALCI Burçin,HOCAOĞLU Meryem,GOYNÜMER FIKRET GOKHAN,GÖÇMEN Ahmet Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience. , 2016, ss.278 - 281. 10.5222/MMJ.2016.278
AMA KARAMUSTAFAOĞLU BALCI B,HOCAOĞLU M,GOYNÜMER F,GÖÇMEN A Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience. . 2016; 278 - 281. 10.5222/MMJ.2016.278
Vancouver KARAMUSTAFAOĞLU BALCI B,HOCAOĞLU M,GOYNÜMER F,GÖÇMEN A Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience. . 2016; 278 - 281. 10.5222/MMJ.2016.278
IEEE KARAMUSTAFAOĞLU BALCI B,HOCAOĞLU M,GOYNÜMER F,GÖÇMEN A "Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience." , ss.278 - 281, 2016. 10.5222/MMJ.2016.278
ISNAD KARAMUSTAFAOĞLU BALCI, Burçin vd. "Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience". (2016), 278-281. https://doi.org/10.5222/MMJ.2016.278
APA KARAMUSTAFAOĞLU BALCI B, HOCAOĞLU M, GOYNÜMER F, GÖÇMEN A (2016). Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience. Medeniyet Medical Journal, 31(4), 278 - 281. 10.5222/MMJ.2016.278
Chicago KARAMUSTAFAOĞLU BALCI Burçin,HOCAOĞLU Meryem,GOYNÜMER FIKRET GOKHAN,GÖÇMEN Ahmet Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience. Medeniyet Medical Journal 31, no.4 (2016): 278 - 281. 10.5222/MMJ.2016.278
MLA KARAMUSTAFAOĞLU BALCI Burçin,HOCAOĞLU Meryem,GOYNÜMER FIKRET GOKHAN,GÖÇMEN Ahmet Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience. Medeniyet Medical Journal, vol.31, no.4, 2016, ss.278 - 281. 10.5222/MMJ.2016.278
AMA KARAMUSTAFAOĞLU BALCI B,HOCAOĞLU M,GOYNÜMER F,GÖÇMEN A Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience. Medeniyet Medical Journal. 2016; 31(4): 278 - 281. 10.5222/MMJ.2016.278
Vancouver KARAMUSTAFAOĞLU BALCI B,HOCAOĞLU M,GOYNÜMER F,GÖÇMEN A Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience. Medeniyet Medical Journal. 2016; 31(4): 278 - 281. 10.5222/MMJ.2016.278
IEEE KARAMUSTAFAOĞLU BALCI B,HOCAOĞLU M,GOYNÜMER F,GÖÇMEN A "Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience." Medeniyet Medical Journal, 31, ss.278 - 281, 2016. 10.5222/MMJ.2016.278
ISNAD KARAMUSTAFAOĞLU BALCI, Burçin vd. "Levonorgestrel containing intrauterine device (Mirena®) in the treatment of dyfunctional uterine bleeding; patients’ view and our experience". Medeniyet Medical Journal 31/4 (2016), 278-281. https://doi.org/10.5222/MMJ.2016.278