Long-acting reversible contraception (LARC) with the intrauterine system with levonorgestrel (6 mcg/d): observational study on the acceptability, quality of life, and sexuality in Italian women
- 19 December 2017
- journal article
- research article
- Published by Taylor & Francis Ltd in Gynecological Endocrinology
- Vol. 34 (6), 532-535
- https://doi.org/10.1080/09513590.2017.1416465
Abstract
This observational study was conducted in healthy premenopausal women, who presented themselves for contraception with an intrauterine system (IUS) releasing LNG (6 mcg/d) (Jaydess®, Bayer, Germany) at the outpatient Family Planning Clinics of the Departments of Obstetrics and Gynaecology of the Universities of Cagliari and Sassari (CA/SS), University-Hospitals of CA/SS (Italy). After a screening visit, 31 women without contraindications to Jaydess® were included in the study. No difficulty in Jaydess® insertion (Ji) was found in 87% of subjects, with pelvic pain (PP) (visual analogic scale, VAS:5.33 ± 2.54) reported by 27/31 subjects at the Ji. Pelvic pain was reported by 17/31 subjects on the first day (VAS: 3.07 ± 3.1), 16/31 subjects on the second day (VAS:2.37 ± 2.71), and 11/31 subjects on the third day (VAS:1.18 ± 2.02) from Ji, with a significant (p < .001) decrease in the intensity. The primary purposes of the study were to evaluate whether a 12-month-treatment (12-M-T) with Jaydess® interferes on either the quality of life (QoL) or sexuality. Jaydess® did not modify either QoL or sexuality in the 25 subjects who completed the 12-M-T. Throughout the 12-M-T, PP, or pregnancies were not found; the menstrual blood loss was significantly (p < .0001) reduced, and the intensity VAS of dysmenorrhea (#14 subjects) significantly (p < .001) improved.Keywords
This publication has 28 references indexed in Scilit:
- Quality of Sexual Life of Women on Oral Contraceptive Continued-Regimen: Pilot StudyThe Journal of Sexual Medicine, 2013
- Non-Contraceptive Benefits of Oral Hormonal ContraceptivesInternational Journal of Endocrinology and Metabolism, 2012
- Abortion and mental health: quantitative synthesis and analysis of research published 1995–2009The British Journal of Psychiatry, 2011
- Practice Bulletin No. 121: Long-Acting Reversible Contraception: Implants and Intrauterine DevicesObstetrics & Gynecology, 2011
- Copper-T intrauterine device and levonorgestrel intrauterine system: biological bases of their mechanism of actionContraception, 2007
- Prospective study on sexual behavior of women using 30 μg ethinylestradiol and 3 mg drospirenone oral contraceptiveContraception, 2005
- The Female Sexual Function Index (FSFI): A Multidimensional Self-Report Instrument for the Assessment of Female Sexual FunctionJournal of Sex & Marital Therapy, 2000
- The Italian SF-36 Health Survey: Translation, Validation and NormingJournal of Clinical Epidemiology, 1998
- Mechanisms of Action of Intrauterine DevicesObstetrical & Gynecological Survey, 1996
- Detailed analysis of menstrual bleeding patterns after postmenstrual and postabortal insertion of a copper IUD or a levonorgestrel-releasing intrauterine systemContraception, 1996