Levonorgestrel-releasing intrauterine system as a therapy for repeated pelvic abscess combined with genital deformity: a case report

Abstract

A 33-year-old woman who had vaginoplasty 16 years prior because of atresia of upper one-third vagina developed repeated pelvic abscess, fever, and abdominal pain because of menstrual blood backflow. After anti-infection therapy, abscess incision, and GnRH-a treatment, the abscess could not be cured. In the end the authors inserted a levonorgestrel intrauterine system (LNG-IUS) into the uterine cavity. The abscess became small gradually and disappeared at last. At follow-up at one year, the abscess has not recurred.