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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Relationship between user satisfaction with the levonorgestrel-releasing intrauterine system and bleeding patterns

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Carvalho, Nelsilene M. [1] ; Chou, Victoria [1] ; Modesto, Waleska [1] ; Margatho, Deborah [1] ; Garcia, Elaine A. L. [1] ; Bahamondes, Luis [1]
Total Authors: 6
[1] Univ Estadual Campinas, UNICAMP, Dept Obstet & Gynaecol, Family Planning Clin, Med Sch, Caixa Postal 6181, BR-13084971 Campinas, SP - Brazil
Total Affiliations: 1
Document type: Journal article
Source: JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH; v. 43, n. 11, p. 1732-1737, NOV 2017.
Web of Science Citations: 2

AimSatisfaction with a contraceptive method constitutes an important factor in its acceptance and long-term use. The objective of this study was to assess the relationship between user satisfaction with the 20-g/day levonorgestrel-releasing intrauterine system (LNG-IUS) and the bleeding patterns reported at two different time-points during follow-up. MethodsA total of 251 LNG-IUS users aged 18-45 years were invited to answer a questionnaire on their return to the clinic for a routine follow-up visit and again 1 year later. Data were collected face-to-face. ResultsTwenty women discontinued prematurely; therefore, the analysis was performed on 231 women. Most users were either highly satisfied (66.6% and 66.2% at the first and second interviews, respectively) or satisfied (26.4% and 26.4% at the first and second interviews, respectively) with the LNG-IUS. Satisfaction was related to amenorrhea (P < 0.001) and duration of use (P < 0.001). Prolonged bleeding and spotting were the main causes of dissatisfaction with the device. ConclusionMost LNG-IUS users in this sample were satisfied with the device. The only two factors associated with satisfaction were amenorrhea and duration of use, while prolonged bleeding and spotting were the main causes of dissatisfaction. These findings could be useful for health-care professionals and policy-makers when developing information material for women. The study provides insight into the profile of satisfied LNG-IUS users; however, this information is not suitable for counseling women who are considering using an LNG-IUS. (AU)

FAPESP's process: 15/20504-9 - Clinical findings among progestin-only contraceptives' users
Grantee:Luis Guillermo Bahamondes
Support type: Research Projects - Thematic Grants