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RecruitingNCT07248553LNG-IUD TIMINGUpdated Nov 25, 2025

Timing of LNG-IUD Insertion and Ovarian Cyst Formation

An observational study in Ovarian Cysts, Menstrual Cycle and Intrauterine Device (IUD), sponsored by Gaziosmanpasa Research and Education Hospital. Recruiting at 1 site in Turkey (Türkiye). Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2025-11-25.

Sponsored by Gaziosmanpasa Research and Education Hospital · Observational

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as recruiting.
  • Started Jun 2025; still recruiting 1 year 5 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
60
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

In this prospective observational study, the effect of timing of insertion (early/late follicular; early/late luteal) on ovarian cyst development in women receiving an LNG-IUD will be assessed ultrasonographically at months 0, 3, 6, and 12. Secondary outcomes include cyst size/structure, bleeding pattern, pain, and other adverse events.

Read the detailed description

The menstrual cycle will be divided into four subphases, and the LNG-IUD will be placed according to these phases.Participants will be assessed initially with a gynecological examination, ultrasound, and hormone profile (FSH, LH, TSH, prolactin, estradiol, progesterone); they will be followed up with ultrasound at months 0, 3, 6, and 12.There is no randomization or blinding (observational design).Data analysis will be conducted using chi-square/Fisher, with Yates correction if necessary, and Cramer's V/phi as the effect size (p\<0.05/0.01).

02

Conditions studied

  • Ovarian Cysts
  • Menstrual Cycle
  • Intrauterine Device (IUD)

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Keywords

  • Levonorgestrel-Releasing Intrauterine Device
  • Menstrual Cycle Phase
  • Ovarian Cyst
03

In context

Ovarian Cysts

80 studies on the registry are indexed under Ovarian Cysts; 16 are open to participants now.

This study's planned enrollment of 60 is below the median of 200 across 27 observational studies indexed under Ovarian Cysts.

Browse Ovarian Cysts studies →

Lead sponsor

Gaziosmanpasa Research and Education Hospital is the lead sponsor of 126 studies on the registry; 29 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population will consist of women aged 18 to 45 years who are clinically indicated for levonorgestrel-releasing intrauterine device (LNG-IUD) insertion for contraception or therapeutic purposes. Participants will be recruited from the outpatient gynecology clinic of SBÜ Gaziosmanpaşa Training and Research Hospital.

All participants will have regular menstrual cycles and no contraindications to LNG-IUD use. They will be assigned to one of four observational cohorts (early follicular, late follicular, early luteal, or late luteal phase) according to the menstrual phase at the time of insertion.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Reproductive age: 18-45 years
  • Patients with indications for LNG-IUD (levonorgestrel-containing intrauterine device) insertion (abnormal uterine bleeding, menorrhagia, dysmenorrhea, endometriosis, adenomyosis, hormonally induced dysfunctional uterine bleeding, endometrial protection in women receiving hormone replacement therapy, and endouterine hyperplasia without atypia)
  • Patients without for LNG-IUD (no suspected pregnancy, no serious uterine anomalies (Müllerian anomalies), no active pelvic infection, no history of serious liver disease or breast cancer, and no anatomical or clinical contraindications to IUD insertion) will be included.
  • They must not have used oral for at least 3 months.
  • The previous IUD must have been removed at least 1 year prior.
  • Those who signed the form and agreed to participate voluntarily will be included in the study.
  • Those who have not used steroidal anti-inflammatory drugs within 24 hours of insertion of a levonorgestrel-containing IUD will be included in the study.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy history or current pregnancy
  • Patients using hormone therapy
  • Patients with adnexal masses
  • Patients with severe systemic diseases (uncontrolled diabetes, advanced cardiovascular disease, active (especially hormone-sensitive ones), advanced liver or kidney failure, systemic connective tissue diseases)
  • Patients with to the levonorgestrel IUD (suspected pregnancy, severe uterine anomaly, active pelvic infection, severe liver disease, or a history of breast cancer, anatomical or clinical obstacles to intrauterine device insertion)
  • Patients with psychological disabilities
  • Patients who refuse to sign the form
  • Patients who cannot be followed up will not be included in the study.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
60 participants (estimated)
Target follow-up
1 Year
Patient registry
Yes

Groups and cohorts

  • Early Follicular Phase

    LNG-IUD inserted during early follicular phase (days 1-5).

  • Late Follicular Phase

    LNG-IUD inserted during late follicular phase (days 6-13).

  • Early Luteal Phase

    LNG-IUD inserted during early luteal phase (days 14-21).

  • Late Luteal Phase

    LNG-IUD inserted during late luteal phase (days 22-28).

06

What researchers measure

Primary outcomes

  1. Incidence of Ovarian Cyst Formation

    Occurrence of new ovarian cysts detected by transvaginal or transabdominal ultrasound after LNG-IUD insertion.

    Time frame: Baseline, 3 months, 6 months, and 12 months post-insertion

07

Study locations

1 of 1 sites recruiting
  • SBÜ Gaziosmanpaşa Training and Research Hospital
    Gaziosmanpaşa, Outside of the US 33400, Turkey (Türkiye)
    Recruiting
    • havva betül bacak, md · Contacthbbacak90@gmail.com · +905333610088
    • ecenur çelikoğlu, md · Contactecenucelikoglu14@gmail.com · +905385492848
    • havva betül bacak, md · Principal investigator
    • yağmur acıyiyen, md · Sub investigator
    • ecenur çelikoğlu, md · Sub investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2025 (actual). Primary completion is estimated for Jun 2026, 12 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 18, 2025
First posted
Nov 25, 2025
StartActual
Jun 1, 2025
Primary completionEst.
Jun 1, 2026
CompletionEst.
Jun 1, 2026
Last update
Nov 25, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07248553
Responsible party
Havva Betül Bacak (Specialist in Obstetrics and Gynecology, Gaziosmanpasa Research and Education Hospital) — Principal investigator
First posted
Nov 25, 2025
Start date
Jun 1, 2025
Primary completion
Jun 1, 2026 (estimated)
Completion
Jun 1, 2026 (estimated)
Last update
Nov 25, 2025

Study contacts

ecenur çelikoğlu, md
Contact
ecenucelikoglu14@gmail.com
+905385492848
yağmur acıyiyen, md
Contact
yagmuraciyiyen95@gmail.com
+905425669593
havva betül bacak, md
principal investigator · SBÜ Gaziosmanpaşa Training and Research Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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