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Use of the Levonorgestrel Intrauterine Device in an Adolescent with Type IV Vascular Ehlers-Danlos Syndrome and Heavy Menstrual Bleeding, a Case Report.
Wilde, M; Moyer, G; Huguelet, P S.
Afiliación
  • Wilde M; Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
  • Moyer G; Division of Hematology, Department of Internal Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
  • Huguelet PS; Section of Pediatric and Adolescent Gynecology, Children's Hospital Colorado, Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Campus, Aurora, Colorado. Electronic address: Patricia.huguelet@cuanschutz.edu.
J Pediatr Adolesc Gynecol ; 36(3): 331-333, 2023 Jun.
Article en En | MEDLINE | ID: mdl-36813023
BACKGROUND: Ehlers-Danlos syndrome (EDS) is a group of connective tissue disorders of altered collagen synthesis. People with vascular EDS are at increased risk for vascular and hollow viscous rupture. Heavy menstrual bleeding (HMB) is common among adolescents with EDS. The levonorgestrel intrauterine device (LNG-IUD) is an effective treatment option for HMB; however, its use in patients with vascular EDS has historically been avoided due to perceived risk of uterine rupture. This is the first known case report on use of the LNG-IUD in an adolescent with vascular EDS. CASE: A 16-year-old female with vascular EDS and HMB underwent placement of the LNG-IUD. Placement of the device was performed in the operating room under ultrasound guidance. At the 6-month follow-up, the patient reported significant improvement in bleeding and high satisfaction. No complications were identified at the time of placement or follow-up. SUMMARY AND CONCLUSION: LNG-IUD may be a safe and effective option for menstrual management in individuals with vascular EDS.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anticonceptivos Femeninos / Síndrome de Ehlers-Danlos / Síndrome de Ehlers-Danlos Tipo IV / Dispositivos Intrauterinos Medicados / Menorragia Tipo de estudio: Etiology_studies / Guideline / Prognostic_studies Límite: Adolescent / Female / Humans / Pregnancy Idioma: En Revista: J Pediatr Adolesc Gynecol Asunto de la revista: GINECOLOGIA / PEDIATRIA Año: 2023 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anticonceptivos Femeninos / Síndrome de Ehlers-Danlos / Síndrome de Ehlers-Danlos Tipo IV / Dispositivos Intrauterinos Medicados / Menorragia Tipo de estudio: Etiology_studies / Guideline / Prognostic_studies Límite: Adolescent / Female / Humans / Pregnancy Idioma: En Revista: J Pediatr Adolesc Gynecol Asunto de la revista: GINECOLOGIA / PEDIATRIA Año: 2023 Tipo del documento: Article
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