Amenorrhea and BMI as independent determinants of patient satisfaction in LNG-IUD users: Cross-sectional study in a Central European district

作者：Stoegerer Hecher Eveline; Kirchengast Sylvia; Huber Johannes C; Hartmann Beda^*

来源：Gynecological Endocrinology, 2012, 28(2): 119-124.

DOI：10.3109/09513590.2011.588751

• Satisfaction
• levonorgestrel intauterine device
• bleeding patterns
• body mass index

Objective: This study investigated the satisfaction of women carrying the LNG-IUD and determined influencing factors, especially considering bleeding patterns and body mass index (BMI). Design: Cross sectional study. Setting: Gynecological offices in a Central European district. Participants: 1825 women aged between 18 and 60 years. Measurement: While sitting in the waiting room, voluntary patients had to answer a questionnaire about their experiences with the levonorgestrel intrauterine device. One question was used to determine whether the women were current, former or not users of the intrauterine coil. Results: 415 women who had some experiences with Mirena were found. Overall, 266 (65.7%) were %26quot;very satisfied,%26quot; 83 (20.5%) %26quot;quite satisfied,%26quot; 18 (4.4%) %26quot;moderate satisfied,%26quot; 19 (4.7%) %26quot;less satisfied,%26quot; and the same amount %26quot;really not satisfied%26quot; with the hormonal coil. Women with amenorrhea were more often %26quot;very satisfied%26quot; in general, than women with hypermenorrhea (178 (67.9%) vs. 3 (1.1%) p %26lt; 0.001). Concerning bleeding patterns, 295 (74.1%) were %26quot;very satisfied%26quot; and 23 (5.8%) %26quot;really not satisfied%26quot;. 203 (91.0%) of all amenorrhoeic women were %26quot; very satisfied%26quot; with their bleeding patterns, but only 2 (9.5%) of all women with hypermenorrhea (p %26lt; 0.001 for alpha = 0.05). Amenorrhea particularly occurred in women who had a significantly lower body mass index (24.4 +/- 4.4 kg/m(2) vs. 27.6 +/- 6.5 kg/m(2) in women with hypermenorrhea, p = 0.018 for alpha = 0.05). After allocating women to the widely used BMI-categories (underweight, normal weight, overweight, obese class I and II) it was evident, that normally weighted women tend toward amenorrhea as well at the beginning of LNG-IUD use as well after 4-5 years of use. In contrast to this, overweighed and obese women tend more often to amenorrhea at the end of use, but not at the beginning (72.7% and 55.6% vs. 25.0% and 0%). Women with a lower BMI were more often %26quot;very satisfied%26quot; concerning bleeding patterns, but not concerning the general satisfaction. Conclusion: Our study showed much evidence, that amenorrhea occurs more often in women with lower BMI contrary to women with a higher one-especially at the beginning of LNG-IUD use. Furthermore amenorrhea was mostly considered to be a positive menstrual change.

• 出版日期2012-2