Figures & Tables
Tables
Points of Comparison LNG IUS Copper IUD Main difference Hormonal (levonorgestrel) Nonhormonal Main effects on menstruation Generally decreasesmenstrual blood loss Generally increasesmenstrual blood loss Duration of use 5 years 10–12 years Noncontraceptive benefits (stemming from reduced uterine bleeding) Treats menorrhagia, increases hemoglobin, and likely alleviates anemia and problems with uterine fibroids … Effectiveness Both in the highest tier of contraceptive effectiveness Continuation rates Both have similar, high continuation rates Abbreviations: IUD, intrauterine device; LNG IUS, levonorgestrel intrauterine system.
- TABLE 3. Mean Number of Monthly LARC Insertions and Proportion of IUD Insertions per Marie Stopes/Kenya Outreach Team, by LNG IUS Availability,a 2011
Team LNG IUS Not Available LNG IUS Available No. of Months Implants Copper IUD % IUDb No. of Months Implants Copper IUD LNG IUS Total IUDc % Total IUDb 1 4 566 227 29.5 8 424 242 5 247 37.3 2 10 329 165 38.3 1 416 147 3 150 26.5 4 5 273 164 43.5 6 352 138 9 147 29.5 7 8 278 159 37.4 4 368 174 3 177 32.8 8 1 285 193 40.4 11 227 128 14 142 43.0 9 10 447 188 31.4 2 306 205 10 215 42.7 11 6 391 215 33.5 6 408 291 9 300 41.9 12 2 147 268 66.4 10 229 281 38 319 60.7 13 6 254 310 59.1 6 328 314 14 328 52.1 14 2 185 486 72.4 10 181 205 19 224 54.9 15 9 210 72 26.9 3 273 45 10 55 19.2 Total 63 322 191 38.9 67 296 210 15 225 44.3 Abbreviations: IUD, intrauterine device; LARC, long-acting reversible contraceptive; LNG IUS, levonorgestrel intrauterine system.
↵a P value = .08 for testing whether the relative monthly distribution of IUD vs. implants is different depending on availability of the LNG IUS.
↵b Mean of the proportion of women receiving IUDs per month.
↵c Total IUD is the sum of copper IUD and LNG IUS insertions.
Provider Experiences % Distribution Number of LNG IUS insertions performed since completing training 0 11 1–10 26 11–50 15 51+ 48 Method most comfortable describing and providing Copper IUD 0 Subdermal implant 48 LNG IUS 0 All the same 52 Method least comfortable describing and providing Copper IUD 4 Subdermal implant 0 LNG IUS 44 All the same 52 Do you think clients easily understand the difference between the copper IUD and the LNG IUS? No 30 Yes 70 Is the 10+ years duration of use for the copper IUD a significant reason women will choose it instead of the LNG IUS that only lasts for 5 years? No 52 Yes 44 Do not know 4 Did you ever have a stockout of the LNG IUS? No 4 Yes 96 If the LNG IUS is not available, what method do women choose instead? Subdermal implant 70 Copper IUD 30 Other 0 Will the LNG IUS attract new clients to long-acting contraception? No 0 Yes 100 How important are noncontraceptive benefits of the LNG IUS to your clients? Very important 70 Somewhat important 30 Abbreviations: IUD, intrauterine device; LNG IUS, levonorgestrel intrauterine system.
Attribute % Distribution Key information provided to clients to distinguish the LNG IUS from the copper IUDa Hormonal product 85 Reduces bleeding 52 Duration of use 44 Works locally in uterus 15 Prevents cancer 15 Aspects of the LNG IUS that are attractive to clientsa Reduction of excessive menstrual bleeding 59 5-year product 15 Hormonal effect 15 Plastic/nonmetallic 15 Duration of use 15 Aspects of the LNG IUS are unattractive to clientsa Contains hormones 44 Insertion procedure/modesty issues 22 Strings cause discomfort during sex 19 What are the most important noncontraceptive benefits of the LNG IUS?a Reduces menstrual blood loss 52 Prevents cancer/uterine disease 22 Prevents anemia 22 Treats heavy menstrual blood loss 22 Alleviates pain during menses 15 Abbreviations: IUD, intrauterine device; LNG IUS, levonorgestrel intrauterine system.
↵a Multiple responses allowed; only responses garnering at least 15% (n = 4) are shown.