#16
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Еще для врача:
(если вы читаете по английски как раз там и про вес сказано) Health effects of long-term use of the intrauterine levonorgestrel-releasing system. A follow-up study over 12 years of continuous use. Rönnerdag M, Odlind V. Department of Women's and Children's Health, Section for Obstetrics and Gynecology, University of Uppsala, Sweden. BACKGROUND: This report comprises women from one center, who all participated in a larger European multi-center study, which included 2758 healthy women, of whom 1821 were randomly allocated to the levonorgestrel-releasing intrauterine system (Lng-IUS) and 937 to a copper-IUD (Nova-T). At the end of the 5 year study period, 109 of the 300 women, who originally were allocated to the Lng-IUS at this center, were still using the Lng-IUS. The women were offered the opportunity to continue the Lng-IUS and 100 women chose to do so. After a total period of almost 7 years of continuous use, a second Lng-IUS was offered and 82 of the women chose to start a second segment of Lng-IUS use. After another 5 years, 69 of the women were fitted with their third Lng-IUS. METHODS: These 82 women were examined yearly throughout the study period and bleeding pattern, hemoglobin, weight, blood-pressure, general well-being and intercurrent disease were analyzed to assess long-term effects. RESULTS: No pregnancy occurred during the follow-up. One case of partial expulsion occurred and one case of pelvic inflammatory disease. Seventy-seven percent of the women did not report any health problems at all during the entire follow-up period of 13 years. At the end of the second period with the Lng-IUS, 60% reported amenorrhea, 12% infrequent, scanty bleeds and 28% regular, scanty bleeds. As a consequence, the hemoglobin values increased, with a mean increase, after 12-13 years, being 1.35 g/dl. Blood pressure increased slightly and body weight increased with a mean increase of 0.49 kg/year. Seven women became postmenopausal during the follow-up and started estrogen replacement therapy with the Lng-IUS in situ. CONCLUSIONS: This follow-up study suggests that the Lng-IUS remains a safe and effective method of contraception, allowing women prolonged relief of menstrual problems, and for women in their late reproductive years, offering a convenient and bleeding-free transition into the menopause. |
#17
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Спасибо, очень интересно, а нет данных почему только 109 of the 300 women, who originally were allocated to the Lng-IUS at this center, were still using the Lng-IUS.
Почему 191 остальных ее вынули? Могут же быть самые разные причины, может беременность планировали, а может и нет. |
#18
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В любом случае, спасибо, я почитала канадский форум с отзывами и консультациями по Мирене и определилась, что Мирену больше не рассматриваю как вариант.
На канадском форуме тоже очень много негативныех отзывов - вес, депрессии, неостанавливаемые кровотечения, выпадение волос и акне :-( |
#20
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Снимаю шляпу, DrSusha.
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#21
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Нет, нет, что-вы..оденьте
На самом деле я эту систему просто обожаю, не перечислить всех пациенток с серьезной патологией, которым она помогла за 10 лет ее внедрения в практику. И ни одного случая беременности. Жалко что наша визави больше доверяет отзывам пациенток, которым не подошла система по тем или иным причинам (ведь те, у кого все хорошо, и не напишут ничего), а научно доказанные факты подвергает сомнению. Ну да ладно, каждый волен распоряжаться своим здоровьем... |
#22
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Как говорится в старом анекдоте, каждый разбирается в воспитании детей, игре в футбол, расследовании преступлений и ... в медицине.... Даже непонятно, зачем мы все нужны.
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