Objective: To evaluate the quality of
life in patients with endometriosis pelvic pain before and after the
application of the levonorgestrel-releasing intrauterine system (LNG-IUS). Design:
Open non-comparative study. Setting: Obstetrics and Gynecology Hospital at
Monterrey, Mexico. Sample: 29 women aged 18 to 40 years with pelvic pain
associated with endometriosis confirmed by laparoscopy. Methods: After
laparoscopy but before LNG-IUS insertion (basal visit) and 6 months afterwards,
modified Endometriosis Health Profile (EHP-30) was applied. Main outcomes
measures: Size of change of questionnaire scores, need of additional analgesic
therapy and adverse effects. Statistical Analysis: Differences in the
questionnaire scores before and after intervention were analyzed by Student
t-test. Results: Final analysis set included 29 women aged 31.7 ± 4.7 years
years. The ASRM surgical staging of endometriosis was mild in 19.3 moderate in
13.7 and severe in 76% of the patients. The general perception of quality of
life improved from 52 at baseline to 98% at six months (p < 0.001). Adverse
events were mild in nature, 19 patients reported no adverse events during the
study (65.5%). Two patients (6.9%) required the use of concomitant therapy with
non-steroidal analgesics for relief of pain. Conclusion: The application of
LNG-IUS in patients with pelvic pain associated with endometriosis improved
significatively all aspects related with quality of life as measured with
Endometriosis Health Profile (EHP-30). We concluded that LNGIUS may be an
effective and convenient therapeutic alternative for the management of pain
associated with endometriosis.
Cite this paper
Flores, R. , Lara, E. , Corral, L. , Chaib, R. , Pérez, L. , Díaz, O. and Flores, R. (2015) Quality of Life in Women with Endometriosis Pelvic Pain Treated with the Levonorgestrel-Releasing Intrauterine System. Open Journal of Obstetrics and Gynecology
, 167-172. doi: 10.4236/ojog.2015.53023
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