Reasons for the use of levonogestrel - releasing Intrauterine System (IUS) in the treatment of women with abnormal uterine bleeding in SUS
DOI:
https://doi.org/10.51723/ccs.v31i02.573Keywords:
Dispositivos intrauterinos, Menorragia, Sangramento uterino disfuncional.Abstract
Abnormal uterine bleeding (SUA) is a syndrome characterized by changes in woman's menstrual pattern that negatively influences her quality of life. The causes range from uterine structural diseases (polyps, fibroids, adenomyosis, malignancies) to functional disorders (coagulation disorders, ovulation), with about 20% of cases without a clear factor. The treatment has the purpose to make the uterine bleeding tolerable and the pharmacological treatment through oral and injectable medicines, as well as through subdermal implants or intrauterine devices. In case of failure of the above, hysterectomy or endometrial ablation are options. Levonorgestrel-releasing intrauterine system - SIU-LNG is a non-invasive, cost-effective treatment with a positive impact on quality of life. To evaluate it, a literature review was performed in the PUBMED, Cochrane and Lilacs databases, from articles published until June 2019 focusing on SIU-LNG as the one of the interventions in the treatment of SUA. It was observed that this is a therapeutic option even considered as the first line of treatment in some countries, precisely because of its cost-effectiveness, reversibility (for women without defined offspring) and good control of SUA. In Brazil, this device is not available in the public health system, preventing that some women could benefit from its use. The evidences presented herein are expected to help change this reality and significantly reduce the number of women that has been submitted to unnecessary surgical treatments.
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