The Levonorgestrel Intrauterine System: A Pragmatic View of an Excellent Contraceptive

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The Levonorgestrel Intrauterine System: A Pragmatic View of an Excellent Contraceptive
Publication Date: 10/28/2015

This paper argues that the levonorgestrel intrauterine system (LNG IUS) has major advantages and could be a ‘‘game-changer’’ in improving contraceptive choice and use. According to the authors, however, it faces important challenges,  including: (1) high commodity cost; (2) often-strong provider resistance to IUDs and difficult programmatic requirements; (3) need for demand creation, including assessing if markedly reduced menstrual bleeding is attractive to clients; and (4) the many requirements for introducing any new contraceptive.

As a next step, the authors recommend a well-focused and multifaceted ‘‘learning introduction’’ to assess the LNG IUS’s potential in several low-income countries, with rapid scale-up if results are promising.

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Global Health: Science and Practice