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Long-term intracervical contraception with a levonorgestrel device.

S El Mahgoub

    Contraception
    |April 1, 1982
    PubMed
    Summary

    A new intracervical levonorgestrel-releasing mini-T device showed comparable continuation rates to other contraceptives over 3 years. While pregnancy rates were higher than intrauterine levonorgestrel devices, bleeding was reduced compared to copper-T-200.

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    Area of Science:

    • Reproductive Health
    • Contraception
    • Gynecology

    Background:

    • Long-acting reversible contraceptives (LARCs) are crucial for family planning.
    • Levonorgestrel-releasing devices offer hormonal contraception with systemic effects.
    • Assessing novel delivery systems like intracervical devices is important for expanding contraceptive options.

    Purpose of the Study:

    • To evaluate the efficacy and safety of an intracervical levonorgestrel-releasing mini-T device.
    • To compare the performance of this new device with an intrauterine levonorgestrel device and a copper-T-200 (Cu-T-200).

    Main Methods:

    • A 3-year prospective study involving 100 fertile multiparous women.
    • Utilized an intracervical levonorgestrel-releasing mini-T device releasing approximately 10 micrograms/day.
    • Compared outcomes with an intrauterine levonorgestrel device and Cu-T-200.

    Main Results:

    • Continuation rates at 1, 2, and 3 years were not significantly different among the three devices.
    • Incidence of unintended pregnancies and removals due to bleeding/pain was comparable to Cu-T-200 but higher than the intrauterine levonorgestrel device.
    • Both levonorgestrel devices demonstrated significantly fewer days of bleeding and spotting compared to Cu-T-200.

    Conclusions:

    • The intracervical levonorgestrel-releasing mini-T device presents a viable contraceptive option with comparable continuation rates to established methods.
    • While offering reduced bleeding, its pregnancy and removal rates warrant further investigation, especially compared to intrauterine levonorgestrel devices.
    • This device may be a suitable alternative for women seeking reduced menstrual bleeding with hormonal contraception.

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