Effects of intrauterine device use on attack frequency and severity ın woman of reproductive age with familial Mediterranean fever
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..
AIM: Familial Mediterranean fever (FMF) is the most common inherited autoinflammatory disease in the world. There are known triggers to initiate an FMF attack, yet potential effects of intrauterine devices (IUD) in women of reproductive age have not been evaluated before.
METHOD: Consecutive female patients with FMF who ever used IUD over the age of 18 were enrolled. Female patients with FMF were sub grouped according to the type of IUD they use. FMF attack frequency, severity, duration, presence of dysmenorrhea, severity of dysmenorrhea, having attacks during menstruation before and after IUD use were questioned. Demographic and clinical data were collected from hospital database.
RESULTS: When all patients with IUD use were evaluated, it was found that the frequency of attacks increased after IUD insertion at 3rd and 12th months (median [min-max] attack frequency at 3rd month, 1 (0-3) vs 1 (0-6), p = 0.002, median [min-max] attack frequency at 12th month, 2 (0-12) vs 3.5 (0-18), p = 0.028). Attack severity measured by VAS pain was also significantly increased. Attack duration and menstrual pain was similar before and after IUD use. Attack frequency at 3rd and 12th months, attack severity and menstrual pain was all increased significantly in Cu-IUD users, whereas none of these parameters deteriorated in LNG-IUD group.
CONCLUSION: IUD use, especially Cu-IUD, may increase the frequency and severity of attacks in female patients with FMF. Clinicians may benefit from considering LGN-IUD if IUDs are preferred as contraception in women of childbearing age with FMF.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:309 |
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| Enthalten in: |
Archives of gynecology and obstetrics - 309(2024), 5 vom: 13. Apr., Seite 2041-2046 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Özdemir Ulusoy, Bahar [VerfasserIn] |
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| Links: |
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| Themen: |
Attack |
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| Anmerkungen: |
Date Completed 16.04.2024 Date Revised 16.04.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00404-024-07413-5 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM369678737 |
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| 100 | 1 | |a Özdemir Ulusoy, Bahar |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Effects of intrauterine device use on attack frequency and severity ın woman of reproductive age with familial Mediterranean fever |
| 264 | 1 | |c 2024 | |
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| 500 | |a Date Revised 16.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. | ||
| 520 | |a AIM: Familial Mediterranean fever (FMF) is the most common inherited autoinflammatory disease in the world. There are known triggers to initiate an FMF attack, yet potential effects of intrauterine devices (IUD) in women of reproductive age have not been evaluated before | ||
| 520 | |a METHOD: Consecutive female patients with FMF who ever used IUD over the age of 18 were enrolled. Female patients with FMF were sub grouped according to the type of IUD they use. FMF attack frequency, severity, duration, presence of dysmenorrhea, severity of dysmenorrhea, having attacks during menstruation before and after IUD use were questioned. Demographic and clinical data were collected from hospital database | ||
| 520 | |a RESULTS: When all patients with IUD use were evaluated, it was found that the frequency of attacks increased after IUD insertion at 3rd and 12th months (median [min-max] attack frequency at 3rd month, 1 (0-3) vs 1 (0-6), p = 0.002, median [min-max] attack frequency at 12th month, 2 (0-12) vs 3.5 (0-18), p = 0.028). Attack severity measured by VAS pain was also significantly increased. Attack duration and menstrual pain was similar before and after IUD use. Attack frequency at 3rd and 12th months, attack severity and menstrual pain was all increased significantly in Cu-IUD users, whereas none of these parameters deteriorated in LNG-IUD group | ||
| 520 | |a CONCLUSION: IUD use, especially Cu-IUD, may increase the frequency and severity of attacks in female patients with FMF. Clinicians may benefit from considering LGN-IUD if IUDs are preferred as contraception in women of childbearing age with FMF | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Attack | |
| 650 | 4 | |a Disease severity | |
| 650 | 4 | |a Familial Mediterranean fever | |
| 650 | 4 | |a Intrauterine device | |
| 650 | 7 | |a Contraceptive Agents, Female |2 NLM | |
| 700 | 1 | |a Güven, Serdar Can |e verfasserin |4 aut | |
| 700 | 1 | |a Babaoğlu, Hakan |e verfasserin |4 aut | |
| 700 | 1 | |a Ulusoy, Can Ozan |e verfasserin |4 aut | |
| 700 | 1 | |a Armağan, Berkan |e verfasserin |4 aut | |
| 700 | 1 | |a Kayacan Erdoğan, Esra |e verfasserin |4 aut | |
| 700 | 1 | |a Maraş, Yüksel |e verfasserin |4 aut | |
| 700 | 1 | |a Doğan, İsmail |e verfasserin |4 aut | |
| 700 | 1 | |a Orhan, Kevser |e verfasserin |4 aut | |
| 700 | 1 | |a Koçak Ulucaköy, Rezan |e verfasserin |4 aut | |
| 700 | 1 | |a Atalar, Ebru |e verfasserin |4 aut | |
| 700 | 1 | |a Omma, Ahmet |e verfasserin |4 aut | |
| 700 | 1 | |a Küçükşahin, Orhan |e verfasserin |4 aut | |
| 700 | 1 | |a Erten, Şükran |e verfasserin |4 aut | |
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