Cytological evaluation and investigation of the vaginal flora of long-term users of the levonorgestrel-releasing intrauterine system (LNG-IUS)

Abstract Background The study was conducted to evaluate the cytopathological findings and vaginal flora in cervical smear samples from women using the levonorgestrel-releasing intrauterine system (LNG-IUS) for a period of up to 7 years. Study Design Postinsertion cytology examinations were conducted...

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Veröffentlicht in:Contraception (Stoneham) 2008-01, Vol.77 (1), p.30-33
Hauptverfasser: Lessard, Trícia, Simões, José A, Discacciati, Michelle G, Hidalgo, Margarete, Bahamondes, Luis
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container_end_page 33
container_issue 1
container_start_page 30
container_title Contraception (Stoneham)
container_volume 77
creator Lessard, Trícia
Simões, José A
Discacciati, Michelle G
Hidalgo, Margarete
Bahamondes, Luis
description Abstract Background The study was conducted to evaluate the cytopathological findings and vaginal flora in cervical smear samples from women using the levonorgestrel-releasing intrauterine system (LNG-IUS) for a period of up to 7 years. Study Design Postinsertion cytology examinations were conducted on 187 women who had an LNG-IUS inserted between April and September 1998 in the family planning clinic of the Universidade Estadual de Campinas. Results During the 7 years of follow-up, a high frequency of candidiasis was found from the fourth through the seventh year of use in comparison to the first year of use. No significant results were found with respect to cytopathological abnormalities or other microbiological alterations following insertion of the LNG-IUS. Conclusion Use of the LNG-IUS had no effect on cervical smears over the 7-year follow-up period; however, an increase occurred in the frequency of candidiasis.
doi_str_mv 10.1016/j.contraception.2007.09.009
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Study Design Postinsertion cytology examinations were conducted on 187 women who had an LNG-IUS inserted between April and September 1998 in the family planning clinic of the Universidade Estadual de Campinas. Results During the 7 years of follow-up, a high frequency of candidiasis was found from the fourth through the seventh year of use in comparison to the first year of use. No significant results were found with respect to cytopathological abnormalities or other microbiological alterations following insertion of the LNG-IUS. Conclusion Use of the LNG-IUS had no effect on cervical smears over the 7-year follow-up period; however, an increase occurred in the frequency of candidiasis.</description><identifier>ISSN: 0010-7824</identifier><identifier>EISSN: 1879-0518</identifier><identifier>DOI: 10.1016/j.contraception.2007.09.009</identifier><identifier>PMID: 18082663</identifier><identifier>CODEN: CCPTAY</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Birth control ; Brazil ; Candidiasis ; Cervix Uteri - cytology ; Contraceptive Agents, Female - administration &amp; dosage ; Cytopathological abnormalities ; Female ; Follow-Up Studies ; Genital system. Reproduction ; Gynecology. Andrology. Obstetrics ; Humans ; Intrauterine Devices, Medicated - microbiology ; Levonorgestrel - administration &amp; dosage ; LNG-IUS ; Longitudinal Studies ; Medical sciences ; Microbiological abnormalities ; Obstetrics and Gynecology ; Other methods of contraception. Sterilization ; Papanicolaou ; Pharmacology. 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Study Design Postinsertion cytology examinations were conducted on 187 women who had an LNG-IUS inserted between April and September 1998 in the family planning clinic of the Universidade Estadual de Campinas. Results During the 7 years of follow-up, a high frequency of candidiasis was found from the fourth through the seventh year of use in comparison to the first year of use. No significant results were found with respect to cytopathological abnormalities or other microbiological alterations following insertion of the LNG-IUS. Conclusion Use of the LNG-IUS had no effect on cervical smears over the 7-year follow-up period; however, an increase occurred in the frequency of candidiasis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth control</subject><subject>Brazil</subject><subject>Candidiasis</subject><subject>Cervix Uteri - cytology</subject><subject>Contraceptive Agents, Female - administration &amp; dosage</subject><subject>Cytopathological abnormalities</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Genital system. Reproduction</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Intrauterine Devices, Medicated - microbiology</subject><subject>Levonorgestrel - administration &amp; dosage</subject><subject>LNG-IUS</subject><subject>Longitudinal Studies</subject><subject>Medical sciences</subject><subject>Microbiological abnormalities</subject><subject>Obstetrics and Gynecology</subject><subject>Other methods of contraception. Sterilization</subject><subject>Papanicolaou</subject><subject>Pharmacology. Drug treatments</subject><subject>Vagina - microbiology</subject><subject>Vaginal flora</subject><subject>Vaginal Smears</subject><subject>Vaginitis</subject><issn>0010-7824</issn><issn>1879-0518</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkm-L1DAQxoso3nr6FaQgir5onfR_EARZzvNg0Rd3vg5pOq1Z02QvaQv7JfzMTtmVQ18ZCIHhN09m5pkoesUgZcCq9_tUOTt5qfAwaWfTDKBOgacA_FG0YU3NEyhZ8zjaADBI6iYrLqJnIeyBQF7WT6ML1kCTVVW-iX5tj5MzbtBKmhgXaWa5isbSdrG2C4ZJD6eI6-PpB8aLHLQltjfOyzVonB2SCf0YzwF9-MMZXJx1fiAFjyahizJoO5Aq1T5TgrYYh2OYcIzf7r5eJzffb989j5700gR8cX4vo7vPV3fbL8nu2_XN9tMuUQVnUyJl3akMoYUKsapKXsumqCWnvhFb1nY5dq3MKkkd90yxssibqpQda5tW9VV-Gb05yR68u5-pRDHqoNAYadHNQdTA6GQZgR9OoPIuBI-9OHg9Sn8UDMTqhtiLv9wQqxsCuCA3KPvl-Zu5HbF7yD2Pn4DXZ0AGMqD30iodHjjOC06HuKsThzSTRaMXQWm0CjvtUU2ic_o_C_r4j44y2q7e_8Qjhr2bPXkbBBMhEyBu1wVa9wdqgCIrm_w3IHzJHg</recordid><startdate>20080101</startdate><enddate>20080101</enddate><creator>Lessard, Trícia</creator><creator>Simões, José A</creator><creator>Discacciati, Michelle G</creator><creator>Hidalgo, Margarete</creator><creator>Bahamondes, Luis</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080101</creationdate><title>Cytological evaluation and investigation of the vaginal flora of long-term users of the levonorgestrel-releasing intrauterine system (LNG-IUS)</title><author>Lessard, Trícia ; Simões, José A ; Discacciati, Michelle G ; Hidalgo, Margarete ; Bahamondes, Luis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c491t-aa7dc2e0b06ee66597a847a9051eeb1bd3edba26a007f1c1543865ad1b8bcf63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Birth control</topic><topic>Brazil</topic><topic>Candidiasis</topic><topic>Cervix Uteri - cytology</topic><topic>Contraceptive Agents, Female - administration &amp; dosage</topic><topic>Cytopathological abnormalities</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Genital system. Reproduction</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Intrauterine Devices, Medicated - microbiology</topic><topic>Levonorgestrel - administration &amp; dosage</topic><topic>LNG-IUS</topic><topic>Longitudinal Studies</topic><topic>Medical sciences</topic><topic>Microbiological abnormalities</topic><topic>Obstetrics and Gynecology</topic><topic>Other methods of contraception. Sterilization</topic><topic>Papanicolaou</topic><topic>Pharmacology. Drug treatments</topic><topic>Vagina - microbiology</topic><topic>Vaginal flora</topic><topic>Vaginal Smears</topic><topic>Vaginitis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lessard, Trícia</creatorcontrib><creatorcontrib>Simões, José A</creatorcontrib><creatorcontrib>Discacciati, Michelle G</creatorcontrib><creatorcontrib>Hidalgo, Margarete</creatorcontrib><creatorcontrib>Bahamondes, Luis</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Contraception (Stoneham)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lessard, Trícia</au><au>Simões, José A</au><au>Discacciati, Michelle G</au><au>Hidalgo, Margarete</au><au>Bahamondes, Luis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cytological evaluation and investigation of the vaginal flora of long-term users of the levonorgestrel-releasing intrauterine system (LNG-IUS)</atitle><jtitle>Contraception (Stoneham)</jtitle><addtitle>Contraception</addtitle><date>2008-01-01</date><risdate>2008</risdate><volume>77</volume><issue>1</issue><spage>30</spage><epage>33</epage><pages>30-33</pages><issn>0010-7824</issn><eissn>1879-0518</eissn><coden>CCPTAY</coden><abstract>Abstract Background The study was conducted to evaluate the cytopathological findings and vaginal flora in cervical smear samples from women using the levonorgestrel-releasing intrauterine system (LNG-IUS) for a period of up to 7 years. Study Design Postinsertion cytology examinations were conducted on 187 women who had an LNG-IUS inserted between April and September 1998 in the family planning clinic of the Universidade Estadual de Campinas. Results During the 7 years of follow-up, a high frequency of candidiasis was found from the fourth through the seventh year of use in comparison to the first year of use. No significant results were found with respect to cytopathological abnormalities or other microbiological alterations following insertion of the LNG-IUS. Conclusion Use of the LNG-IUS had no effect on cervical smears over the 7-year follow-up period; however, an increase occurred in the frequency of candidiasis.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18082663</pmid><doi>10.1016/j.contraception.2007.09.009</doi><tpages>4</tpages></addata></record>
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subjects Adolescent
Adult
Biological and medical sciences
Birth control
Brazil
Candidiasis
Cervix Uteri - cytology
Contraceptive Agents, Female - administration & dosage
Cytopathological abnormalities
Female
Follow-Up Studies
Genital system. Reproduction
Gynecology. Andrology. Obstetrics
Humans
Intrauterine Devices, Medicated - microbiology
Levonorgestrel - administration & dosage
LNG-IUS
Longitudinal Studies
Medical sciences
Microbiological abnormalities
Obstetrics and Gynecology
Other methods of contraception. Sterilization
Papanicolaou
Pharmacology. Drug treatments
Vagina - microbiology
Vaginal flora
Vaginal Smears
Vaginitis
title Cytological evaluation and investigation of the vaginal flora of long-term users of the levonorgestrel-releasing intrauterine system (LNG-IUS)
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