Continuation rates and satisfaction with the Levonorgestrel Intrauterine System. Letter to the Editor in response to an article published in volume 31, by Dr. Ewies.

摘要

We are writing in response to the paper published in Gynecological Endocrinology (31:1-6, 2009) by Dr. Ewies. This publication claims that the LNG-IUS has high rates of sexual dissatisfaction, high rates of discontinuation, high rates of progestagenic side effects, and high tissue and scrum levels of LNG.In claiming that there is 'overwhelming evidence' of 'high discontinuation and dissatisfaction rates amongst (LNG-IUS) users' Dr. Ewies cites studies on the use of the LNG-IUS for the treatment of heavy menstrual bleeding (HMB) and endometriosis.We would like to clarify that the LNG-IUS is not licensed for use in endometriosis.