Department of Obstetrics & Gynaecology, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham General Hospital, Cheltenham, UK.
BJOG. 2010 Jan;117(2):216-21. doi: 10.1111/j.1471-0528.2009.02372.x.
Menstrual problems are common in adolescence. Management can be very problematic in girls with disability or medical disorders, as their condition and other medications may mean they are less likely to achieve satisfactory control with standard medical treatments. Those with disability tend to tolerate menses poorly. We report experience with the levonorgestrel intrauterine system (LNG IUS) for treatment of menstrual problems in adolescents with a range of medical problems or with severe learning disability. It provided of significant therapeutic benefit for 12 of 14 participants, with the majority opting to continue for the 5-year duration of the device. The rates of expulsion, bleeding and amenorrhoea appear similar to those reported in older women, where contraception is the primary indication.
经期问题在青春期很常见。对于残疾或患有疾病的女孩，管理可能会非常成问题，因为她们的病情和其他药物可能意味着她们不太可能通过标准的医疗治疗达到满意的控制效果。那些有残疾的人往往对经期的耐受较差。我们报告了使用左炔诺孕酮宫内节育系统（LNG IUS）治疗患有各种医疗问题或严重学习障碍的青少年经期问题的经验。对于 14 名参与者中的 12 名，它提供了显著的治疗益处，其中大多数人选择继续使用该设备 5 年。其排出率、出血和闭经率与作为主要适应症的避孕报道的老年女性相似。
