The use of levonorgestrel releasing intrauterine system at Ahmadu Bello University Teaching Hospital, Zaria

Suleiman, Bawa U; Garba, A; Makarfi, Umar A; Hauwa, Madugu N; Muhammad, Abdul Adogie

doi:10.4103/0331-8540.204084

Cited by 1 publication

(1 citation statement)

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“…However, the hormonal IUD does not contribute to the proportion of intrauterine contraceptives used by women 10 . In one study in Zaria Nigeria, of all the 1104 women who opted for an IUD as a method of contraception only 68 (6.1%) women chose the hormonal IUD 11 . This is in contrast to other countries; for example in the US, where the proportion of IUD users has been reported as 12%, with 74% of the users of the intrauterine contraceptives chosing the hormonal IUD 12 .…”

Section: Introductionmentioning

confidence: 99%

Continuation and user satisfaction of the levonorgestrel intrauterine system (LNG IUS) contraceptive in Nigeria

et al. 2022

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Background: The hormonal intrauterine device or intrauterine system (IUS) also known as the levonorgestrel intrauterine system (LNG-IUS) is a highly effective hormonal intra-uterine contraceptive. However, services offering the method are not widely available in Nigeria and little evidence exists on the dynamics of its use. We examined the continuation rate and satisfaction with the IUS among the user population. Methods: This prospective longitudinal phone survey involved a baseline survey of users at two-weeks post-insertion of the LNG IUS, recruited from 40 clinics across 17 states in Nigeria, with a follow-up survey at the 3rd and 12th months. A total of 208 users were interviewed at baseline, 98 at three months, and 73 at 12 months. User family planning and the IUS use experiences were elicited, as well as the continuation rate and satisfaction with the method at three and 12 months. Results: At three- and 12 months post-insertion, 96.9% (95% CI: 91.3, 99.3) and 91.8% (95% CI: 82.9, 96.9), respectively, reported still using the LNG IUS, with none out of the few users who discontinued the method reporting a method failure. Discontinuation was mainly a result of the experience of menstrual bleeding or amenorrhea (25.0%), experiences of pain with the method (18.8%), and partner complaining about strings (16.7%). High satisfaction with the LNG IUS (76.5% at three months and 86.3% at 12 months post-insertion) was reported. Satisfaction with LNG IUS was significantly associated with not having breast tenderness/pain (88.2%) and no vaginal bacterial infection (87.5%) at 12 months compared to experiencing breast tender/pain (50.0%) and vaginal infection (0.0%) (p<0.05). Conclusion: High user continuation and satisfaction with IUS indicates the positive potential of the method as a contraceptive in Nigeria.

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Section: Introductionmentioning

confidence: 99%