Comparison of Primary Dysmenorrhea, Anxiety, Depression, Sexual Experience, and Quality of Life in Women Receiving a Copper-containing and Levonorgestrel-releasing Intrauterine Device

İngilizce (OpenAlex)

Objective:This study aimed to compare primary dysmenorrhea, anxiety, depression, quality of life, and sexual life in women who have inserted copper-containing intrauterine devices (TCu380A-IUD) and levonorgestrel-releasing intrauterine devices (LNG-IUD). Method:This comparative, descriptive, cross-sectional study with a pre-test-post-test design was conducted on 160 women, including 80 who received TCu80A-IUDs and 80 who received LNG-IUDs. Data were collected using the visual analog scale, Spielberg state and trait anxiety, Beck depression, short form (SF) 36-quality of life, and Arizona sexual experiences. The data were analyzed by number, percentage, mean, standard deviation, chi-square test, Fisher’s exact test, and t-test for independent/dependent samples. Results:The pain level of the LNG-IUD group was lower at the last follow-up. The levels of anxiety and depression were moderate in both groups. The post-test scores of the SF 36-quality of life scale of the TCu380A-IUD group were statistically significantly higher than those of the LNG-IUD group in physical function, physical and emotional role difficulty (p<0.05). Furthermore, the post-test measures of the LNG-IUD group’s SF 36-quality of life scale were significantly higher than the pre-test in pain, general health, energy/vitality, and mental health (p<0.05). It was noted that at the first follow-up, the ASEX scale scores were similar in both groups. Conclusion:LNG-IUD insertion may be preferred in patients with increased pain and decreased quality of life. Health professionals should provide effective training and counseling services to women using IUDs.