Comparison of the efficacy of oral contraceptives and levonorgestrel intrauterine system in intermenstrual bleeding caused by uterine niche

被引：0

作者：

Zheng, Fengque ^{[1
]}

Chen, Saiqiong ^{[1
]}

Yang, Weiwei ^{[1
]}

Li, Jingjing ^{[2
]}

Huang, Qinxi ^{[1
]}

Qin, Huayi ^{[1
]}

Wei, Jiahan ^{[1
]}

Lin, Jiajing ^{[1
]}

机构：

[1] Guangxi Med Univ, Dept Obstet & Gynecol, Affiliated Hosp 4, 156 Heping Rd, Liuzhou 545000, Peoples R China

[2] Liuzhou Matern & Child Healthcare Hosp, Dept Obstet & Gynecol, Liuzhou, Guangxi, Peoples R China

来源：

GINEKOLOGIA POLSKA | 2024年 / 95卷 / 08期

关键词：

efficiency; intermenstrual bleeding; levonorgestrel intrauterine system; oral contraceptives; uterine niche; CESAREAN SCAR DEFECT; SECTION SCAR; TRANSVAGINAL REPAIR; ULTRASOUND; WOMEN; PREVALENCE; ISTHMOCELE; MANAGEMENT; SECONDARY;

D O I：

10.5603/GP.a2023.0067

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objectives: This study aimed to compare the effectiveness of oral contraceptives and a levonorgestrel intrauterine system in treating intermenstrual bleeding due to uterine niche. Material and methods: We retrospectively analyzed 72 patients with intermenstrual bleeding due to uterine niche from January 2017 to December 2021, of whom 41 were treated with oral contraceptives and 31 with a levonorgestrel intrauterine system. Post-treatment follow-ups at 1, 3, and 6 months were conducted to compare the efficiency and adverse effects between the two groups. Results: In the oral contraceptive group, the effectiveness rate was higher than 80% at 1- and 3-months post-treatment and higher than 90% at 6 months. In the levonorgestrel intrauterine system group, the effectiveness rates were 58.06%, 54.84%, and 61.29% at 1, 3, and 6 months of treatment, respectively. Conclusions: Oral contraceptives were more effective than the levonorgestrel intrauterine system in treating intermenstrual bleeding caused by uterine niche.

引用

页码：621 / 626

页数：6

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