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Trial Title: The Effect of Levonorgestrel Intrauterine System in Preventing Endometrial Polyps Recurrence

NCT ID: NCT06620939

Condition: Endometrial Polyp

Conditions: Official terms:
Uterine Neoplasms
Recurrence
Polyps
Levonorgestrel

Conditions: Keywords:
Endometrial polyp
Levonorgestrel intrauterine system

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Prevention

Masking: Double (Investigator, Outcomes Assessor)

Masking description: Statistician

Intervention:

Intervention type: Drug
Intervention name: Levonorgestrel Intrauterine System (LNG-IUS)
Description: Participants in the intervention group will receive Mirena placement after hysteroscopic polypectomy
Arm group label: LNG-IUS group

Summary: The goal of this clinical trial is to determine whether the LNG-IUS is more effective to that of expectant in preventing endometrial polyp recurrence after hysteroscopic polypectomy. Researchers will compare LNG-IUS to expectant management to see if LNG-IUS works to reduce the recurrence rate of endometrial polyps. Participants will: Receive Mirena placement or not after hysteroscopic polypectomy; Be scheduled for a follow-up with TVCD to screen for endometrial polyps recurrence every 6 months.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. (1)Women age 20 to 48 years old; 2. (2)Previous history of endometrial polypectomy; 3. (3)Postoperative pathology confirmed endometrial polyps; 4. (4)Women without fertility desire within 2 years; 5. (5)Signed informed consent. Exclusion Criteria: 1. (1)Contraindications for a hysteroscopic polypectomy or LNG-IUS or not willing to receive this type surgery; 2. (2)Women who have a positive pregnancy test; 3. (3)A I and II type submucosal uterine leiomyoma, congenital uterine malformation, atypical endometrial polyps, a (suspected) malignancy, atypical endometrial cells, reproductive tract infections; 4. (4)Postoperative pathology confirmed non-endometrial polyps; 5. (5)Postoperative pathology confirmed endometrial proliferative diseases which need hormone drug therapy after surgery; 6. (6)Treatment with hormonal three months before surgery; 7. (7)The uterine cavity is more than 10 cm deep; 8. (8)Women with severe diseases; 9. (9)Women who were enrolled in another clinical study that could potentially impact the objectives of this study prior to their initial visit were excluded. 10. (10)Unable to cooperate with the study procedures for various reasons, such as language comprehension difficulties, mental illness, inability to travel to the study center, or poor compliance.

Gender: Female

Minimum age: 20 Years

Maximum age: 48 Years

Healthy volunteers: No

Start date: December 1, 2024

Completion date: December 31, 2028

Lead sponsor:
Agency: Zhang Jian
Agency class: Other

Collaborator:
Agency: Nanjing Maternity and Child Health Care Hospital
Agency class: Other

Collaborator:
Agency: Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Agency class: Other

Collaborator:
Agency: Shanghai First Maternal and Infant Health Hospital affiliated to Tongji University Medical School
Agency class: Other

Collaborator:
Agency: Renji Hospital, Shanghai
Agency class: Other

Source: International Peace Maternity and Child Health Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06620939

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