Ned Tijdschr Geneeskd. 2007 Oct 27;151(43):2372-6.
A levonorgestrel-containing IUD for the treatment of endometriosis.
Stekkinger E, van der Linden PJ.
Deventer Ziekenhuis, afd. Gynaecologie, Verloskunde en Voortplantings-geneeskunde, Postbus 5001, 7400 GC Deventer.
Endometriosis is a chronic condition that can cause severe pain and have a significant effect on the quality of life. The currently available hormonal treatments with analogues of gonadotrophin releasing hormone (GnRH) and oral progestational agents are effective in the short term, but the systemic side effects affect treatment compliance. Recurrence of the symptoms is therefore not uncommon. Recently, a few studies have assessed the effect of a levonorgestrel-releasing IUD on the pain associated with endometriosis. This treatment may have a positive effect on endometriosis, both on the symptoms, the measured extent of the lesions, and the serum levels of CA-125. However, the level of evidence of these studies is lower than that of the standard hormonal treatment options, since large randomised controlled trials are still lacking.
Please click on the required question.
- 1 What types of hormone contraceptives are available?
- 2 How effective are hormonal contraceptives?
- 3 How do hormone contraceptives work?
Progestogen-only pills
- 4 What is a progestogen-only pill?
- 5 How do progestogen-only pills provide contraception?
- 6 How does the progestogen-only pill compare to the combined oral contraceptive pill?
- 7 When are POPs recommended in preference to COPs?
- 8 How effective are progestogen-only pills?
- 9 When should POPs be started and how quickly are they are effective?
- 10 When should progestogen-only pills be taken?
- 11 What should be done if a POP is missed?
- 12 What will happen to my periods whilst I am taking progestogen-only pills?
- 13 What should be done if my periods stop when I am taking the progestogen-only pill?
- 14 What should be done if vomiting occurs?
- 15 Should additional precautions be used during a course of antibiotics?
- 16 Can POPs cause ovarian cysts?
- 17 Should the POP be discontinued before I have an operation?
Long-acting hormonal contraception.?
- 18 What are long-acting hormonal contraceptives?
- 19 Depo-Provera What is Depo-Provera?
- 20 What are the advantages of Depo-Provera?
- 21 I have recently had a Depo-Provera injection and now I need to have an operation. Will the operation be delayed?
- 22 What are the disadvantages of Depo-Provera?
- 23 Will my fertility return three months after my last Depo-Provera injection?
- 24 Do long-acting hormonal contraceptives increase the risk of cancer?
- 25 What are contraceptive implants?
Levonorgestrel Intrauterine System - LNG-IUS - Mirena
- 26 Mirena: What is the Levonorgestrel Intrauterine System (LNG-IUS)
- 27 How does the Mirena work?
- 28 How effective is the Mirena as a method of family planning?
- 29 How would a Mirena effect my long-term fertility?
- 30 How long has the Mirena been in use?
- 31 How is the Mirena introduced into the womb?
- 32 How quickly will a Mirena work?
- 33 What problems can occur with the Mirena?
- 34 How frequently should my Mirena be changed?
- 35 What will happen to my periods after a Mirena is introduced?
- 36 What value is Mirena in the management of period problems?
- 37 What value is Mirena for premenstrual syndrome?
- 38 What value is Mirena in Hormone Replacement Therapy?
- 39 Family Planning Support Groups.
- 40 Support Groups.
