Original researchAdvance information improves user satisfaction with the levonorgestrel intrauterine system☆
Section snippets
Materials and methods
The levonorgestrel-releasing intrauterine system (Mirena, Levonova, Turku, Finland) was launched in Finland in 1990. Simultaneously, all women who had had their levonorgestrel-releasing intrauterine system inserted between April 1990 and December 1993 were asked to participate in an epidemiologic study. A consent form was filled in. The women were asked to fill in their identity number (unique for every Finnish citizen) and to consent for further collection of data by signing their initials.
Results
Table 1 shows age and age-adjusted demographic variables: education, contraception just before the insertion of the levonorgestrel-releasing intrauterine system, parity, and marital status by user satisfaction.
The majority of the women (74%) were very or fairly satisfied with the levonorgestrel-releasing intrauterine system. The number of fairly or very dissatisfied users was 1425 (8.3%). Of the 11,177 current users of the levonorgestrel-releasing intrauterine system, 91% were very or fairly
Discussion
We conclude that user satisfaction is strongly associated with information given at the time the levonorgestrel-releasing intrauterine system is inserted. User satisfaction increased with advance information with all six symptoms (bleeding problems, possibility of pregnancy, mood changes, greasiness of hair and/or skin, pelvic inflammatory disease, and total or occasional absence of menstruation) regardless of whether the symptom in question was experienced. The adjustment of symptoms
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This study has been sponsored by an unrestricted grant by Leiras Oy, Finland. Three of the authors also received some financial support from the company.