Journal article
Congenital virilization of female infants recognized after pregnancies with retained levonorgestrel intrauterine devices
Journal of pediatric urology, Vol.16(2), pp.241-243
04/01/2020
DOI: 10.1016/j.jpurol.2020.03.008
PMID: 32265103
Abstract
The Mirena intrauterine device (IUD) is a hormone-secreting contraceptive device. Pregnancy with the Mirena is rare and effects to the fetus are unknown. Here we present four females with genital virilization after pregnancy with persistent Mirena IUD. All patients had a 46, XX karyotype and normal hormone evaluation. All underwent exam under anesthesia, demonstrating posterior labial fusion and short urogenital sinus with normal bladder, urethra, vagina, and cervix. Three of four patients underwent flap vaginoplasty without complications and good cosmetic outcomes. This series suggests that persistent levonorgestrel-secreting IUD during pregnancy is associated with genital virilization in female fetuses.
Details
- Title: Subtitle
- Congenital virilization of female infants recognized after pregnancies with retained levonorgestrel intrauterine devices
- Creators
- Helen Y. Hougen - Oregon Health & Science UniversityCasey A. Seideman - Oregon Health & Science UniversityMargaret P. Adam - University of WashingtonAnne-Marie Amies Oelschlager - University of Washington School of MedicinePatricia Y. Fechner - Seattle Children's HospitalLinda Ramsell - Seattle Children's HospitalMargarett Shnorhavorian - Seattle Children's HospitalAudrey Squire - Seattle Children's HospitalJ. Christopher Austin - Oregon Health & Science University
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric urology, Vol.16(2), pp.241-243
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/j.jpurol.2020.03.008
- PMID
- 32265103
- ISSN
- 1477-5131
- eISSN
- 1873-4898
- Number of pages
- 3
- Language
- English
- Date published
- 04/01/2020
- Academic Unit
- Urology
- Record Identifier
- 9984701646202771
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