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

نویسندگان

  • Roy Jacobstein
  • James D Shelton
چکیده

The levonorgestrel intrauterine system (LNG IUS) has major advantages and could be a ‘‘game-changer’’ in improving contraceptive choice and use. It faces important challenges, however, 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. A good next step would be 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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عنوان ژورنال:

دوره 3  شماره 

صفحات  -

تاریخ انتشار 2015