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

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.

Sexual Function and Quality of Life in a Cohort of Brazilian Users of Two Kind of Intrauterine Contraceptives

“…In a previous observational study, the authors analyzed if the 31 users of the LNG-IUS presented any difference in QOL and sexual function 12 months after the insertion of the IUC, and no effect on those variables were found. 13 Koseoglu et al 2 compared the sexual function among a group of 92 TCu380A IUD-users and a group of 83 women who did not use contraceptives. The FSFI questionnaire was also used in the study, and the score among the TCu380A IUD users was lower when compared with the control group; however, the difference was not significant.…”

Contraception in chronic kidney disease: a best practice position statement by the Kidney and Pregnancy Group of the Italian Society of Nephrology

“…Placement in patients with previous caesarean section requires caution (for example, ultrasound-guided placement). Placement can sometimes be painful, but the procedure is fast [104]. A copper-bearing IUD can also be inserted as an emergency contraceptive method within 120 h from unprotected sexual intercourse [105].…”

Pengetahuan dan Pendapatan Akseptor KB dengan Penggunaan Alat Kontrasepsi Bawah Kulit (AKBK)

“…Hanya dengan keluarga kecil semua dapat terwujud, karena keluarga merupakan unit terkecil kehidupan bangsa. Kemampuan penyelenggara pelayanan kesehatan suatu bangsa diluar dengan menentukan tinggi rendahnya angka kematian ibu dan perinatal dalam 100.000 persalinan hidup, sedangkan tingkat kesejahteraan suatu bangsa ditentukan dengan seberapa jauh gerakan keluarga berencana dapat diterima dimasyarakat (Manuaba & Ida, 2011). Dapat disimpulkan bahwa keluarga berencana adalah suatu upaya pengaturan kelahiran melibatkan peran serta masyarakat dengan menggunakan metode kontrasepsi untuk meningkatkan kesejahteraan keluarga dan mewujudkan keluarga kecil, bahagia dan sejahtera.…”