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Abstract
Objectives To evaluate the insertion procedure and continuation rates of the levonorgestrel releasing-intrauterine system (LNG-IUS) in nulliparous women who, due to fear of complications, are often denied this very effective contraceptive method.
Methods A non-interventional study of 224 nulliparous women attending family planning services for insertion of a LNG-IUS.
Results There were only six unsuccessful insertions. The insertions, mostly carried out by midwives, were regarded as easy by 72% of the inserters. Nineteen women (9%) considered the procedure to have been painless, 162 (72%) moderately painful, and 39 (17%), severely painful. At follow-up, 12–16 weeks post-insertion, 76% (165/216) of the women were satisfied with their method. Women in the youngest age group were more satisfied than women in the oldest age group (75% and 59%, respectively). Only 5% were dissatisfied. Neither perforations nor pregnancies were reported during the whole study period.
Conclusion Our results support the current practice in Sweden of offering LNG-IUS routinely to nulliparous women.
Funding: This research was supported by Bayer Schering Pharma, Scandinavia.
Declaration of interest: Lena Lövkvist, Håkan Dalvik and Inger Øverlie are employees of Bayer Schering Pharma, the sponsor of this study. Lena Marions has been a temporary consultant for Bayer Schering Pharma in the field of contraception. The authors alone are responsible for the content and the writing of the paper.