Abnormal Uterine Bleeding, Adenomyosis, Endometriosis, Intrauterine Device Expulsion, Menorrhagia, Dysmenorrhea
Conditions
Keywords
GyneFix-LNG-IUS, Frameless LNG-IUS, IUD expulsion, Adenomyosis, Menorrhagia, Retrospective study
Brief summary
This is a retrospective self-controlled observational study. We evaluated the safety and efficacy of a handmade frameless levonorgestrel-releasing intrauterine system (GyneFix-LNG-IUS) in patients at high risk of IUD expulsion. The device was constructed by combining the GyneFix IUD anchor system and a conventional LNG-IUS with the T-shaped arms removed. All data were collected from routine clinical records. The primary outcome was device expulsion or migration during follow-up.
Interventions
A handmade frameless levonorgestrel-releasing intrauterine system, constructed by combining the GyneFix IUD anchor system and a conventional LNG-IUS with the T-shaped arms removed, for placement in high-risk patients to reduce IUD expulsion.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Female patients aged 25-55 years 2. High risk of IUD expulsion, including adenomyosis, uterine cavity enlargement, cervical laxity, or heavy menstrual bleeding 3. Received handmade frameless GyneFix-LNG-IUS placement 4. Complete clinical follow-up data available
Exclusion criteria
1. Pregnancy or lactation 2. Severe systemic diseases 3. Contraindications for intrauterine device placement 4. Incomplete follow-up data
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| IUD Expulsion Rate | 12 months post-insertion | Rate of GyneFix-LNG-IUS expulsion during follow-up in high-risk patients with adenomyosis, uterine cavity enlargement, or cervical laxity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Efficacy | 12 months post-insertion | Improvement of dysmenorrhea and abnormal uterine bleeding after GyneFix-LNG-IUS placement, evaluated by patient-reported symptoms and menstrual volume. |
Countries
China