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Management of primary dysmenorrhea in young women with frameless LNG-IUS

机译：无框架LNG-IUS治疗年轻女性的原发性痛经

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Abstract: The objective of this paper is to discuss the potential advantages of intrauterine treatment with a frameless levonorgestrel (LNG)-releasing intrauterine system (IUS) in young women presenting with primary dysmenorrhea associated with heavy menstrual bleeding. The paper is based on clinical reports of 21 cases of primary and secondary dysmenorrhea treated with the frameless LNG-IUS. Three typical examples of young women between 16 and 20 years of age, who presented with moderate-to-severe primary dysmenorrhea associated with heavy menstrual bleeding, are presented as examples. Following pelvic examination, including vaginal sonography, a frameless LNG-IUS, releasing 20 μg of LNG/day, was inserted. The three patients developed amenorrhea, or scanty menstrual bleeding, and absence of pain complaints within a few months. We conclude that continuous, intrauterine progestogen delivery could be a treatment of choice of this inconvenient condition. In addition, the good experiences with the frameless LNG-IUS in other studies suggests that the frameless design may be preferred over a framed LNG-IUS, as the absence of a frame, resulting in optimal tolerance, is particularly advantageous in these women.
机译：摘要：本文的目的是探讨无框架左炔诺孕酮（LNG）释放子宫内系统（IUS）在患有原发性痛经并伴有严重月经出血的年轻妇女中进行子宫内治疗的潜在优势。本文基于无框LNG-IUS治疗21例原发和继发性痛经的临床报告。以三个典型的16至20岁年轻女性为例，这些女性表现为中度至重度原发性痛经伴有严重的月经出血。进行盆腔检查（包括阴道超声检查）后，插入无框架LNG-IUS，每天释放20μgLNG。这三名患者在几个月内出现闭经或月经稀少，并且没有疼痛症状。我们得出的结论是，宫腔内持续孕激素的持续输送可能是这种不便情况的一种选择。另外，在其他研究中使用无框架LNG-IUS的良好经验表明，无框架设计可能比有框架的LNG-IUS更可取，因为没有框架会导致最佳的耐受性，这些女性特别有优势。

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