Your browser doesn't support javascript.
loading
Reactional changes in short-term levonorgestrel-releasing intrauterine system (lng-ius) use
Giraldo, Paulo César; Souza, Thais Coelho de; Henrique, Guilherme Lindman; Monteiro, Ilza; Amaral, Rose; Machado, Rogério Bonassi; Discacciati, Michelle Garcia; Sanches, José Marcos.
  • Giraldo, Paulo César; University of Campinas. Department of Gynecology and Obstetrics. São Paulo. BR
  • Souza, Thais Coelho de; University of Campinas. Department of Gynecology and Obstetrics. São Paulo. BR
  • Henrique, Guilherme Lindman; University of Campinas. Department of Gynecology and Obstetrics. São Paulo. BR
  • Monteiro, Ilza; University of Campinas. Department of Gynecology and Obstetrics. São Paulo. BR
  • Amaral, Rose; University of Campinas. Department of Gynecology and Obstetrics. São Paulo. BR
  • Machado, Rogério Bonassi; School of Medicine of Jundiaí. Department of Obstetrics and Gynecology. São Paulo. BR
  • Discacciati, Michelle Garcia; University of Campinas. Department of Gynecology and Obstetrics. São Paulo. BR
  • Sanches, José Marcos; University of Campinas. Department of Gynecology and Obstetrics. São Paulo. BR
Rev. Assoc. Med. Bras. (1992) ; 65(6): 857-863, June 2019. tab
Article in English | LILACS | ID: biblio-1012989
ABSTRACT
SUMMARY

OBJECTIVE:

To evaluate endocervical and vaginal environment changes in women using a levonorgestrel-releasing intrauterine system (LNG-IUS).

METHODS:

A quasi-experimental study included sixty women who had an LNG-IUS inserted in the Family Planning Clinic of UNICAMP between April and November of 2016. Women in reproductive age, non-pregnant, without the use of antibiotics and contraceptives seeking for LNG-IUS insertion were selected for this study. All women were evaluated with regard to vaginal and endocervical pH, vaginal and endocervical Gram-stained bacterioscopy, and Pap-smear before and two months after LNG-IUS insertion. Clinical aspects such as cervical mucus, vaginal discharge, and cervical ectopy were also observed.

RESULTS:

After LNG-IUS insertion, there was an increase in the following parameters endocervical pH>4.5 (p=0.02), endocervical neutrophil amount (p<0.0001), vaginal cytolysis (p=0.04). There was a decrease in vaginal discharge (p=0.01). No statistically significant changes were found in vaginal pH, neutrophils amount in the vaginal mucosa, vaginal discharge appearance, vaginal candidiasis, bacterial vaginosis, vaginal coccobacillary microbiota, cervical mucus appearance, or cervical ectopy size.

CONCLUSIONS:

Short-term LNG-IUS use did not increase vulvovaginal candidiasis or bacterial vaginosis, and led to diminished vaginal discharge. Notwithstanding, this device promoted reactional changes in the vaginal and endocervical environment, without modification on cervical ectopy size.
RESUMO
RESUMO

OBJETIVO:

Avaliar as alterações do ambiente endocervical e vaginal em mulheres usuárias de sistema intrauterino liberador de levonorgestrel (SIU-LNG).

MÉTODOS:

Um estudo quase-experimental incluiu 60 mulheres que inseriram o SIU-LNG na Clínica de Planejamento Familiar da UNICAMP entre abril e novembro de 2016. Mulheres em idade reprodutiva, não gestantes, sem uso de antibióticos e contraceptivos, em busca pela inserção do SIU-LNG, foram selecionadas para este estudo. Todas as mulheres foram avaliadas quanto ao pH vaginal e endocervical, bacterioscopia vaginal e endocervical por coloração de Gram, exame de Papanicolau antes e dois meses após a inserção de SIU-LNG. Aspectos clínicos como muco cervical, corrimento vaginal e ectopia cervical também foram observados.

RESULTADOS:

Após a inserção do SIU-LNG houve aumento nos seguintes parâmetros pH endocervical >4,5 (p=0,02), quantidade de neutrófilos endocervicais (p<0,0001), citolise vaginal (p=0,04). Houve diminuição do conteúdo vaginal (p=0,01). Não foram encontradas alterações estatisticamente significativas no pH vaginal, na quantidade de neutrófilos na mucosa vaginal, apecto do corrimento vaginal, candidíase vaginal, vaginose bacteriana, microbiota cocobacilar vaginal, aparência de muco cervical ou tamanho da ectopia cervical.

CONCLUSÃO:

O uso do SIU-LNG em curto prazo não aumentou a candidíase vulvovaginal ou a vaginose bacteriana, levou à diminuição do conteúdo vaginal. No entanto, este dispositivo promoveu mudanças reacionais no ambiente vaginal e endocervical, sem modificação no tamanho da ectopia cervical.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Vagina / Cervix Uteri / Levonorgestrel / Contraceptive Agents, Female / Endometrium / Intrauterine Devices, Medicated Limits: Adolescent / Adult / Female / Humans Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: School of Medicine of Jundiaí/BR / University of Campinas/BR

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Main subject: Vagina / Cervix Uteri / Levonorgestrel / Contraceptive Agents, Female / Endometrium / Intrauterine Devices, Medicated Limits: Adolescent / Adult / Female / Humans Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: School of Medicine of Jundiaí/BR / University of Campinas/BR