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The levonorgestrel-releasing intrauterine system: Safety, efficacy, and patient acceptability

The levonorgestrel-releasing intrauterine system (LNG-IUS) is a safe, effective and acceptable form of contraception used by over 150 million women worldwide. It also has a variety of noncontraceptive benefits including treatment for menorrhagia, endometriosis, and endometrial hyperplasia. The LNG-I...

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Detalles Bibliográficos
Autores principales: Beatty, Megan N, Blumenthal, Paul D
Formato: Texto
Lenguaje:English
Publicado: Dove Medical Press 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2724187/
https://www.ncbi.nlm.nih.gov/pubmed/19707273
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author Beatty, Megan N
Blumenthal, Paul D
author_facet Beatty, Megan N
Blumenthal, Paul D
author_sort Beatty, Megan N
collection PubMed
description The levonorgestrel-releasing intrauterine system (LNG-IUS) is a safe, effective and acceptable form of contraception used by over 150 million women worldwide. It also has a variety of noncontraceptive benefits including treatment for menorrhagia, endometriosis, and endometrial hyperplasia. The LNG-IUS has also been used in combination with estrogen for hormone replacement therapy and as an alternative to hysterectomy. Overall, the system is very well tolerated and patient satisfaction is quite high when proper education regarding possible side effects is provided. However, despite all of the obvious benefits of the LNG-IUS, utilization rates remain quite low in the developed countries, especially in the United States. This is thought to be largely secondary to the persistent negative impressions from the Dalkon Shield intrauterine experience in the 1970s. This history continues to negatively influence the opinions of both patients and health care providers with regards to intrauterine devices. Providers should resolve to educate themselves and their patients on the current indications and uses for this device, as it, and intrauterine contraception in general, remains a largely underutilized approach to a variety of women’s health issues.
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spelling pubmed-27241872009-08-25 The levonorgestrel-releasing intrauterine system: Safety, efficacy, and patient acceptability Beatty, Megan N Blumenthal, Paul D Ther Clin Risk Manag Review The levonorgestrel-releasing intrauterine system (LNG-IUS) is a safe, effective and acceptable form of contraception used by over 150 million women worldwide. It also has a variety of noncontraceptive benefits including treatment for menorrhagia, endometriosis, and endometrial hyperplasia. The LNG-IUS has also been used in combination with estrogen for hormone replacement therapy and as an alternative to hysterectomy. Overall, the system is very well tolerated and patient satisfaction is quite high when proper education regarding possible side effects is provided. However, despite all of the obvious benefits of the LNG-IUS, utilization rates remain quite low in the developed countries, especially in the United States. This is thought to be largely secondary to the persistent negative impressions from the Dalkon Shield intrauterine experience in the 1970s. This history continues to negatively influence the opinions of both patients and health care providers with regards to intrauterine devices. Providers should resolve to educate themselves and their patients on the current indications and uses for this device, as it, and intrauterine contraception in general, remains a largely underutilized approach to a variety of women’s health issues. Dove Medical Press 2009 2009-08-03 /pmc/articles/PMC2724187/ /pubmed/19707273 Text en © 2009 Beatty and Blumenthal, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Review
Beatty, Megan N
Blumenthal, Paul D
The levonorgestrel-releasing intrauterine system: Safety, efficacy, and patient acceptability
title The levonorgestrel-releasing intrauterine system: Safety, efficacy, and patient acceptability
title_full The levonorgestrel-releasing intrauterine system: Safety, efficacy, and patient acceptability
title_fullStr The levonorgestrel-releasing intrauterine system: Safety, efficacy, and patient acceptability
title_full_unstemmed The levonorgestrel-releasing intrauterine system: Safety, efficacy, and patient acceptability
title_short The levonorgestrel-releasing intrauterine system: Safety, efficacy, and patient acceptability
title_sort levonorgestrel-releasing intrauterine system: safety, efficacy, and patient acceptability
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2724187/
https://www.ncbi.nlm.nih.gov/pubmed/19707273
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