Experiences of Gender Minority Youth With the Intrauterine System
Experiences of Gender Minority Youth With the Intrauterine System
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DOI：
10.1016/j.jadohealth.2018.11.010
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发表时间：
2019-07-01
影响因子：
7.6
通讯作者：
Chelvakumar, Gayathri
中科院分区：
文献类型：
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作者：
Akgul, Sinem;Bonny, Andrea E.;Chelvakumar, Gayathri
目的：本研究的目的是评估使用左炔诺孕酮宫内释放系统（LNG-IUS）作为月经抑制方法的男性或性别不明的青少年的经验，并与使用LNG-IUS治疗非避孕适应症的顺性青年（CGY）进行比较。一项对12-22岁的少数性别青年（GMY）的回顾性图表审查，他们在2014年6月至2018年1月期间自行选择52 mg LNG-IUS用于月经抑制。然后将GMY的年龄和插入时间与CGY相匹配。受试者通过电话联系，以进一步探讨LNG-IUS的经验，如如果该设备仍然在地方，方法满意度，目前的出血模式，并为GMY改善月经distress.Results：三十GMY有LNG-IUS插入在研究期间，和20 GMY与CGY的年龄和插入时间相匹配。GMY患者更有可能接受LNG-IUS插入的镇静（50% vs. 15%，p = 0.04）。除此之外，两组间的LNG-IUS经验相似，包括LNG-IUS问题的电话/办公室访视平均次数、脱落和重新插入率以及控制出血的额外药物需求。平均而言，GMY的平均使用月数为14.5 +/- 8.6个月，CGY为14.6 +/- 11.5个月（p = 0.97）。在3例（15%）GMY和5例（25%）CGY中记录了LNG-IUS清除。改善月经窘迫的报告后，插入的LNG-IUS.Conclusions：总体经验与LNG-IUS是相似的GMY和CGY，月经窘迫和出血模式改善大多数GMY谁自我选择这种方法月经抑制。(C)2019年青少年健康和医学协会。爱思唯尔公司出版All rights reserved.
Purpose: The aim of the study was to evaluate the experience of menstruating adolescents identifying as male or gender nonconforming with the levonorgestrel-releasing intrauterine system (LNG-IUS) as a method of menstrual suppression and compare to that of cisgender youth (CGY) using the LNG-IUS for noncontraceptive indications.Methods: A retrospective chart review of gender minority youth (GMY), aged 12-22 years, who self-selected the 52 mg LNG-IUS for menstrual suppression between June 2014 and January 2018. GMY were then matched for age and time of insertion with CGY. Subjects were contacted by telephone to further explore LNG-IUS experience such as if the device was still in place, method satisfaction, current bleeding patterns, and for GMY improvement in menstrual distress.Results: Thirty GMY had the LNG-IUS inserted during the study period, and 20 GMY were matched with CGY for age and time of insertion. GMY were significantly more likely to receive sedation for LNG-IUS insertion (50% vs. 15%, p = .04). Otherwise, the LNG-IUS experience was similar between groups, including mean number of telephone/office visit encounters for an LNG-IUS concern, expulsion and reinsertion rates, and need for additional medications to control bleeding. On average, the mean months of use was 14.5 +/- 8.6 months in GMY and 14.6 +/- 11.5 in CGY (p = .97). LNG-IUS removal was documented in three (15%) of GMY and five (25%) of CGY. Improvement in menstrual distress was reported by 80% of GMY after the insertion of the LNG-IUS.Conclusions: Overall experience with the LNG-IUS was similar for GMY and CGY, and menstrual distress and bleeding pattern improved in the majority of GMY who self-selected this method for menstrual suppression. (C) 2019 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.