User satisfaction with a levonorgestrel-releasing intrauterine system (LNG-IUS): data from an international survey

Eur J Contracept Reprod Health Care. 2009 Dec;14(6):391-8. doi: 10.3109/13625180903203154.


Objectives: To identify the characteristics of an international population of women using the levonorgestrel-releasing intrauterine system (LNG-IUS) and their experiences with this contraceptive.

Methods: Women who had used the LNG-IUS for six months or more completed a standardised questionnaire on reasons for use, user satisfaction and other aspects.

Results: A total of 8680 questionnaires were completed by survey participants in 18 countries across Europe and the Near East. The average woman using the LNG-IUS was 38 years old, was married or lived with her partner, and had two children. Overall, 95% of patients were satisfied with the LNG-IUS; the percentage rose to 99% among those using their second LNG-IUS. Reasons mentioned for using the LNG-IUS included the need for contraception (68%), its high efficacy (59%) and the shorter/lighter menstrual bleeding (55%). Of the women with prior bleeding problems, 93% reported an improvement in their symptoms with the LNG-IUS. Participants also rated the reliability, tolerability and convenience of the method highly.

Conclusions: This survey provides insight into the profiles of LNG-IUS users. High levels of satisfaction with this method of contraception were reported by both first and second-time users. Our data suggest that the LNG-IUS is well accepted and that it provides considerable benefits beyond contraception alone.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Intravaginal
  • Adult
  • Contraception / psychology
  • Contraception / statistics & numerical data*
  • Contraceptive Agents, Female / administration & dosage*
  • Contraceptive Agents, Female / adverse effects
  • Delayed-Action Preparations / administration & dosage
  • Europe / epidemiology
  • Female
  • Humans
  • Intrauterine Devices, Medicated / statistics & numerical data*
  • Levonorgestrel / administration & dosage*
  • Levonorgestrel / adverse effects
  • Patient Compliance / statistics & numerical data
  • Patient Satisfaction / statistics & numerical data*
  • Surveys and Questionnaires
  • Women's Health
  • Young Adult


  • Contraceptive Agents, Female
  • Delayed-Action Preparations
  • Levonorgestrel