Department of Woman's Health, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland, Katowice, Poland.
Ginekol Pol. 2020;91(6):342-345. doi: 10.5603/GP.a2020.0054. Epub 2020 May 13.
It is estimated that 19% of adolescents in Poland begin their sexual life when they are 15 years old and more than 50% of people aged 17-19 years have already had their first sexual contact. World Health Organization recommends teenagers to use the method of 'dual protection' (condom and other method of contraception, i.e. intrauterine devices). In this study, we sought to present our own experience in the field of the use of levonorgestrel-releasing intrauterine devices in adolescents and to compare it with the experience of other researchers worldwide. Low- dose levonorgestrel-releasing intrauterine device is safe and effective method of contraception in adolescents. It is also an alternative treatment used in heavy chronic abnormal uterine bleeding. It can be also used as an alternative in women with cyanotic heart disease who have contraindications for standard contraception. Gynecologists and pediatricians should be well informed in the topic of intrauterine device use among adolescents and they should provide them reliable knowledge in this field.
据估计，波兰有 19%的青少年在 15 岁时开始性生活，超过 50%的 17-19 岁的人已经有了第一次性接触。世界卫生组织建议青少年采用“双重保护”（避孕套和其他避孕方法，即宫内节育器）的方法。在这项研究中，我们试图展示我们在青少年使用左炔诺孕酮释放宫内节育器领域的经验，并将其与世界其他研究人员的经验进行比较。低剂量左炔诺孕酮释放宫内节育器是青少年安全有效的避孕方法。它也是治疗重度慢性异常子宫出血的一种替代治疗方法。对于患有紫绀型心脏病且对标准避孕有禁忌的妇女，也可以作为替代方法。妇科医生和儿科医生应该充分了解青少年使用宫内节育器的问题，并为他们提供这方面的可靠知识。
