Beschreibung:
<jats:title>Abstract</jats:title><jats:sec><jats:title>Aim</jats:title><jats:p>This study was designed to evaluate feasibility and effectiveness of hysteroscopic intervention in the management of symptoms related to the displaced levonorgestrel‐releasing intrauterine system (LNG‐IUS).</jats:p></jats:sec><jats:sec><jats:title>Material and Methods</jats:title><jats:p>One hundred and thirteen patients with displaced <jats:styled-content style="fixed-case">LNG‐IUS</jats:styled-content> presenting with irregular uterine bleeding, pelvic pain or asymptomatic displacement were recruited for hysteroscopic examination. Displaced <jats:styled-content style="fixed-case">LNG‐IUS</jats:styled-content> was relocated by hysteroscopic intervention and the effect on symptoms and <jats:styled-content style="fixed-case">LNG‐IUS</jats:styled-content> position was followed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The displaced <jats:styled-content style="fixed-case">LNG‐IUS</jats:styled-content> was successfully relocated by hysteroscope in 112 (99.1%) of 113 cases. Following <jats:styled-content style="fixed-case">LNG‐IUS</jats:styled-content> 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. <jats:styled-content style="fixed-case">LNG‐IUS</jats:styled-content> expulsion was recorded in two patients 7 and 21 days after hysteroscopy.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Displaced <jats:styled-content style="fixed-case">LNG‐IUS</jats:styled-content> can cause clinical symptoms (e.g. irregular bleeding, pain). Hysteroscopic relocation of displaced <jats:styled-content style="fixed-case">LNG‐IUS</jats:styled-content> is a feasible method in the management of these symptoms. Risk of spontaneous expulsion associated with hysteroscopy is low.</jats:p></jats:sec>