{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:33:05Z","timestamp":1788870785023,"version":"build-2803163510"},"reference-count":14,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,3,17]],"date-time":"2013-03-17T00:00:00Z","timestamp":1363478400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003243","name":"Ministry of Health of the Czech Republic","doi-asserted-by":"crossref","award":["IGA NR 10576-3\/2009"],"award-info":[{"award-number":["IGA NR 10576-3\/2009"]}],"id":[{"id":"10.13039\/501100003243","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2013,5]]},"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n This study was designed to evaluate feasibility and effectiveness of hysteroscopic intervention in the management of symptoms related to the displaced levonorgestrel\u2010releasing intrauterine system (LNG\u2010IUS).<\/jats:p>\n <\/jats:sec>\n \n Material and Methods<\/jats:title>\n \n One hundred and thirteen patients with displaced\n LNG\u2010IUS<\/jats:styled-content>\n presenting with irregular uterine bleeding, pelvic pain or asymptomatic displacement were recruited for hysteroscopic examination. Displaced\n LNG\u2010IUS<\/jats:styled-content>\n was relocated by hysteroscopic intervention and the effect on symptoms and\n LNG\u2010IUS<\/jats:styled-content>\n position was followed.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The displaced\n LNG\u2010IUS<\/jats:styled-content>\n was successfully relocated by hysteroscope in 112 (99.1%) of 113 cases. Following\n LNG\u2010IUS<\/jats:styled-content>\n relocation, 71 (79.8%) patients of 89 with preoperative irregular uterine bleeding had amenorrhea or vaginal spotting, and 14 of 15 (93.3%) patients with preoperative pelvic pain became asymptomatic.\n LNG\u2010IUS<\/jats:styled-content>\n expulsion was recorded in two patients 7 and 21 days after hysteroscopy.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Displaced\n LNG\u2010IUS<\/jats:styled-content>\n can cause clinical symptoms (e.g. irregular bleeding, pain). Hysteroscopic relocation of displaced\n LNG\u2010IUS<\/jats:styled-content>\n is a feasible method in the management of these symptoms. Risk of spontaneous expulsion associated with hysteroscopy is low.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jog.12007","type":"journal-article","created":{"date-parts":[[2013,3,17]],"date-time":"2013-03-17T22:32:33Z","timestamp":1363559553000},"page":"1014-1018","source":"Crossref","is-referenced-by-count":5,"title":["Hysteroscopic management of displaced levonorgestrel\u2010releasing intrauterine system"],"prefix":"10.1111","volume":"39","author":[{"given":"David","family":"Kuzel","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Charles University First Faculty of Medicine and General Faculty Hospital in Prague Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucie","family":"Hrazdirova","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Charles University First Faculty of Medicine and General Faculty Hospital in Prague Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristyna","family":"Kubinova","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Charles University First Faculty of Medicine and General Faculty Hospital in Prague Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavel","family":"Dundr","sequence":"additional","affiliation":[{"name":"Department of Pathology Charles University First Faculty of Medicine and General Faculty Hospital in Prague Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cibula","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Charles University First Faculty of Medicine and General Faculty Hospital in Prague Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Mara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Charles University First Faculty of Medicine and General Faculty Hospital in Prague Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,3,17]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"World Contraceptive Use 2007","author":"United Nations","year":"2007"},{"key":"e_1_2_7_3_1","unstructured":"Bayer HealthCare pharmaceuticals Mirena Physician Prescribing Information 2008. 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