• Rev Assoc Med Bras (1992) · Jan 2023

    Observational Study

    Hormonal intrauterine device in women with renal transplantation: a prospective observational study.

    • Fernanda Costa Amado, Anelisa Pinotti de Oliveira, Tatiana Emy Nishimoto Kawanami Hamamoto, Edward Araujo Júnior, and GuazzelliCristina Aparecida FalboCAF0000-0002-6985-0818Universidade Federal de São Paulo, Paulista School of Medicine, Department of Obstetrics - São Paulo (SP), Brazil..
    • Universidade Federal de São Paulo, Paulista School of Medicine, Department of Obstetrics - São Paulo (SP), Brazil.
    • Rev Assoc Med Bras (1992). 2023 Jan 1; 69 (10): e20230352e20230352.

    ObjectiveThe main objective of this study is to evaluate the rate of continuity and satisfaction with hormonal intrauterine device in renal transplant recipients.MethodsThis was a prospective observational study. The sample consisted of patients treated at a Family Planning Outpatient Clinic, from August 2016 to September 2021. Information on each patient's age, parity, and associated diseases as well as satisfaction with the method were analyzed. Patients were invited to participate through electronic messages, and the questionnaire included questions about acceptance of the contraceptive method.ResultsA total of 40 patients were included in the study. The mean age of the renal transplant patients was 32.5 years. The mean duration of hormonal intrauterine device use was 37 months. Acceptance of the method was high, with 97.5% of patients remaining on the method for 1 year and 85% of patients using the hormonal intrauterine device at the time of the study. There were no pregnancies or renal transplant complications in the study. Regarding satisfaction with the method, the majority (77.5%) scored 10.ConclusionPatients were satisfied or very satisfied with the hormonal intrauterine device. Therefore, the continuation rate was high. Furthermore, this contraceptive method proved to be safe and effective in kidney transplant recipients. No complications, graft rejection, or graft failure were observed after intrauterine hormonal device insertion and during follow-up.

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