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Relationship between user satisfaction with the levonorgestrel‐releasing intrauterine system and bleeding patterns
Author(s) -
Carvalho Nelsilene M.,
Chou Victoria,
Modesto Waleska,
Margatho Deborah,
Garcia Elaine A.L.,
Bahamondes Luis
Publication year - 2017
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13441
Subject(s) - medicine , levonorgestrel , amenorrhea , patient satisfaction , spotting , intrauterine device , family medicine , user satisfaction , obstetrics , gynecology , family planning , pregnancy , nursing , population , environmental health , research methodology , human–computer interaction , computer science , physics , biology , optics , genetics
Aim Satisfaction 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‐μg/day levonorgestrel‐releasing intrauterine system (LNG‐IUS) and the bleeding patterns reported at two different time‐points during follow‐up. Methods A 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. Results Twenty 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. Conclusion Most 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.