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Review of the safety, efficacy and patient acceptability of the levonorgestrel-releasing intrauterine system

Authors Kailasam C, Cahill D

Published 21 October 2008 Volume 2008:2 Pages 293—301


Review by Single-blind

Peer reviewer comments 2

Chandra Kailasam1, David Cahill2

1Bristol Centre for Reproductive Medicine, Southmead Hospital, Bristol, UK; 2Dept of Obstetrics and Gynaecology, University of Bristol, St Michael’s Hospital, Bristol, UK

Abstract: The levonorgestrel-containing intrauterine system is an extremely effective, reversible and safe form of long-term yet reversible birth control. In view of its efficacy, it is a safer alternative to permanent contraceptive methods such as sterilization. It is especially useful in situations where use of estrogen-containing contraceptives is contraindicated. While menstrual disturbances are a common side effect, proper counseling improves compliance. In addition to its contraceptive effect, the levonorgestrel intrauterine system offers potential therapeutic benefits in other clinical contexts, including menorrhagia, symptomatic fibroids, endometriosis, and endometrial protection.

Keywords: intrauterine device, levonorgestrel intrauterine device, contraception

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