<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412024000600234</article-id>
<article-id pub-id-type="doi">10.24245/gom.v92i6.9564</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación del sistema intrauterino liberador de levonorgestrel SIU-LNG en mujeres con sangrado menstrual abundante]]></article-title>
<article-title xml:lang="en"><![CDATA[Assesment of levonorgestrel releasing intrauterine device LNG-IUD in women with heavy menstrual bleeding.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lizarazo Gutiérrez]]></surname>
<given-names><![CDATA[Sandra Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Páez Méndez]]></surname>
<given-names><![CDATA[Maribel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ríos Posada]]></surname>
<given-names><![CDATA[José Fernando de los]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Ruiz]]></surname>
<given-names><![CDATA[Claudia Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cifuentes Pardo]]></surname>
<given-names><![CDATA[Martha Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bareño Silva]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica del Prado  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica del Prado  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Clínica del Prado  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>92</volume>
<numero>6</numero>
<fpage>234</fpage>
<lpage>242</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412024000600234&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412024000600234&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412024000600234&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO: Describir los desenlaces clínicos de las pacientes atendidas en la Clínica del Prado Medellín, Colombia, a quienes se les insertó el SIU-LNG de 52 mg como tratamiento para cohibir el sangrado menstrual abundante. Además, reportar el nivel de satisfacción, el apego, los principales efectos secundarios derivados de su uso y el porcentaje de pacientes que requirieron histerectomía.  MATERIALES Y MÉTODOS:  Estudio observacional, transversal y analítico al que se incluyeron pacientes con sangrado menstrual abundante tratadas entre enero y diciembre de 2012 en un centro de referencia de la ciudad de Medellín, Colombia. Se evaluaron los desenlaces clínicos y la satisfacción con el método.  RESULTADOS: Se estudiaron 231 pacientes con límites de edad de 30 y 55 años, con sangrado menstrual abundante. Antes de la inserción, 103 pacientes 44.6% no habían recibido ningún tratamiento. Se encontró una diferencia estadísticamente significativa en la duración de los ciclos menstruales antes y después de la inserción a pacientes con ciclos menores de 24 días diferencia de medias 0.377; IC95%: 0.302-0.451, 46.8% en comparación con 9.1%; p = 0.00. El 32% n = 74 de las pacientes tuvieron amenorrea. Al evaluar el promedio de días de sangrado y puntaje PBAC Pictorial Blood Assessment Chart se encontró una diferencia estadísticamente significativa antes y después de la inserción. El efecto adverso más común fue el manchado 20.3%. Después de la inserción del SIU-LNG, 82.7% n = 191 de las pacientes estuvieron satisfechas o muy satisfechas y solo a 18.6% se les practicó histerectomía.  CONCLUSIÓN: Los desenlaces de este estudio indicaron que el SIU-LNG disminuye, significativamente, las pérdidas sanguíneas en mujeres con sangrado menstrual abundante; es un método bien tolerado y aceptado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE: This study describes the clinical results for patients suffering from heavy menstrual bleeding which were treated using a Levonorgestrel-releasing intrauterine system LNG-IUS.  METHODOLOGY: cross-sectional analytic-observational study was used to assess patients with Heavy Menstrual bleeding in a third level clinic at Medellin, Colombia. The study included patients who began treatment between January and December of 2012 and analyzed their clinical results and satisfaction levels with LNG-IUS.  RESULTS: The study assessed 231 patients aged between 30 and 60 with heavy menstrual bleeding. One hundred three of these patients 44.6 % had not received any treatment before the LNG-IUD insertion. LNG-IUS affected the length of cycles for patients with cycles lasting lower than 24 days 46.8 % of cycles before insertion vs. 9.1% after, P: 0.00, dif in means: 0.377, 95% CI: 0.302 - 0.451 and 32 % of them presented amenorrhea. A decrease in the means of the bleeding days and PBAC scores was also observed following LNG-IUS insertion PBAC score 1900.7 vs. 243.9 P 0.00, dif in means: 1656.77, 95% CI 1381 - 1932. The most common adverse event was intermenstrual bleeding 20.3%. Most patients said that they were satisfied with the device 82.7%, and only 15.2% were taken to hysterectomy.  CONCLUSION: Our results show that DIU-LNG reduces blood loss in women with heavy menstrual bleeding and that patients&#8217; tolerance and acceptance for the device are high.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Sistema intrauterino liberador de levonorgestrel SIU-LNG]]></kwd>
<kwd lng="es"><![CDATA[Sangrado menstrual abundante]]></kwd>
<kwd lng="es"><![CDATA[Pictorial Blood Assessment Chart PBAC]]></kwd>
<kwd lng="es"><![CDATA[Histerectomía]]></kwd>
<kwd lng="en"><![CDATA[Levonorgestrel-releasing intrauterine system LNG-IUS]]></kwd>
<kwd lng="en"><![CDATA[Heavy Menstrual bleeding]]></kwd>
<kwd lng="en"><![CDATA[Pictorial Blood Assessment Chart PBAC]]></kwd>
<kwd lng="en"><![CDATA[Hysterectomy]]></kwd>
</kwd-group>
</article-meta>
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