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Comment
. 2015 Oct 28;3(4):538-43.
doi: 10.9745/GHSP-D-15-00330.

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

Roy Jacobstein  1 , James D Shelton  2
Affiliations
Comment

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

Roy Jacobstein et al. Glob Health Sci Pract. .

Abstract

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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References

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