Intrauterine hormonal levonorgestrel-releasing system in women in perimenopause


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Abstract

We review the literature data devoted to use of the intrauterine levonorgestrel-releasing system (LNG-IUS), an effective method of prevention of unwanted pregnancies in women of reproductive age and fertile perimenopausal women with ovulatory menstrual cycles. It is also possible the use of LNG-IUS as ultra low dose hormone progestin component of hormone replacement therapy (HRT) with estrogens. The selection criteria for the use of LNG-IUD in premenopausal women as the progestin component of HRT are the presence of symptoms of climacteric syndrome, anovulation, and oligomenorrhea. The use of LNG-IUD in patients with hyperplastic processes of endometrium and breast, as well as dysmenorrhea, premenstrual syndrome, menorrhagia, endometriosis, premenstrual syndrome, anemia is most reasonable.

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