Purpose To evaluate the efficacy of two progestins, levonorgestrel intrauterine system (LNG-IUS) and dienogest (DNG), for adenomyosis. Methods This study enrolled 157 women with adenomyosis, randomized to either LNG-IUS (n = 76) or DNG (n = 81) groups as a controlled clinical trial for 72 months. Participants were classified by three different localizations of adenomyosis: diffuse, focal, and extrinsic. VAS (Visual analog scale) score, days, and amount of uterine bleeding were assessed. Uterine volume or bone mineral density (BMD) were measured by three-dimensional ultrasonography or dual-energy X-ray absorptiometry. Results LNG-IUS and DNG comparably reduced pain scores in patients with adenomyosis. With regard to pain control, DNG offered greater efficacy than LNG-IUS in 3 months of treatment. In all types of adenomyosis, the days of bleeding after 12 months with DNG were significantly decreased compared to those with LNG-IUS. The decrease of whole uterine body was transient in any subtypes. A comparable decrease in BMD due to age-related changes in both groups was observed. Conclusions LNG-IUS and DNG could be useful for long-term management of adenomyosis. In terms of durations of uterine bleeding, DNG was superior to LNG-IUS for 6 years.
机构:
Jiamusi Univ, Jiamusi 154002, Heilongjiang, Peoples R China
Jiamusi Cent Hosp, Jiamusi, Peoples R ChinaJiamusi Univ, Jiamusi 154002, Heilongjiang, Peoples R China
Tao, Deshuang
Zhong, Tangwu
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Jiamusi Univ, Jiamusi 154002, Heilongjiang, Peoples R ChinaJiamusi Univ, Jiamusi 154002, Heilongjiang, Peoples R China
Zhong, Tangwu
Ma, Shuxia
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Jiamusi Univ, Jiamusi 154002, Heilongjiang, Peoples R ChinaJiamusi Univ, Jiamusi 154002, Heilongjiang, Peoples R China
Ma, Shuxia
Li, Jialin
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Jiamusi Univ, Jiamusi 154002, Heilongjiang, Peoples R ChinaJiamusi Univ, Jiamusi 154002, Heilongjiang, Peoples R China
Li, Jialin
Li, Xiaojie
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Jiamusi Univ, Jiamusi 154002, Heilongjiang, Peoples R China
Jiamusi Univ, Coll Rehab Med, Jiamusi, Peoples R China
Rehab Ctr Child CP, Jiamusi, Heilongjiang, Peoples R China
Jiamusi Univ, Inst Pediat Neurol Disorders, Jiamusi, Peoples R ChinaJiamusi Univ, Jiamusi 154002, Heilongjiang, Peoples R China
机构:
Indiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USAIndiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USA
McLennon, Susan M.
Hancock, Rebecca D.
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Indiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USAIndiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USA
Hancock, Rebecca D.
Redelman, Kathleen
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Indiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USAIndiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USA
Redelman, Kathleen
Scarton, Lisa J.
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Indiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USAIndiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USA
Scarton, Lisa J.
Riley, Elizabeth
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Indiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USAIndiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USA
Riley, Elizabeth
Sweeney, Bobbie
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Indiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USAIndiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USA
Sweeney, Bobbie
Habermann, Barbara
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Univ Delaware, Coll Hlth Sci, Newark, DE 19716 USAIndiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USA
Habermann, Barbara
Jessup, Nenette M.
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Indiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USAIndiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USA
Jessup, Nenette M.
Bakas, Tamilyn
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Indiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USAIndiana Univ, Sch Nursing, 1111 Middle Dr NU E411, Indianapolis, IN 46202 USA
机构:
Fac Med Sci & Hlth Juiz de Fora, Phys Therapy Course, Juiz De Fora, MG, Brazil
Hosp & Matern Terezinha de Jesus, Phys Therapy Sect, Juiz De Fora, MG, Brazil
Univ Salgado de Oliveira, Physiotherapy Course, Juiz De Fora, MG, BrazilFac Med Sci & Hlth Juiz de Fora, Phys Therapy Course, Juiz De Fora, MG, Brazil
Abreu, Nathalia de Souza
Villas Boas, Bia de Castro
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Univ Fed Juiz de Fora, Fac Med, Juiz De Fora, MG, BrazilFac Med Sci & Hlth Juiz de Fora, Phys Therapy Course, Juiz De Fora, MG, Brazil
Villas Boas, Bia de Castro
Bastos Netto, Jose Murilo
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Univ Fed Juiz de Fora, Fac Med, Dept Surg, Juiz De Fora, MG, BrazilFac Med Sci & Hlth Juiz de Fora, Phys Therapy Course, Juiz De Fora, MG, Brazil
Bastos Netto, Jose Murilo
Figueiredo, Andre Avarese
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Univ Fed Juiz de Fora, Fac Med, Dept Surg, Juiz De Fora, MG, BrazilFac Med Sci & Hlth Juiz de Fora, Phys Therapy Course, Juiz De Fora, MG, Brazil