Continuation and user satisfaction of the levonorgestrel intrauterine system (LNG IUS) contraceptive in Nigeria

Background: The hormonal intrauterine device or system (IUS) also known as the levonorgestrel (LNG-IUS) is a highly effective intra-uterine contraceptive. However, services offering method are not widely available in Nigeria and little evidence exists on dynamics of its use. We examined continuation rate satisfaction with IUS among user population. Methods: This prospective longitudinal phone survey involved baseline users at two-weeks post-insertion LNG IUS, recruited from 40 clinics across 17 states Nigeria, follow-up 3rd 12th months. A total 208 were interviewed baseline, 98 three months, 73 12 User family planning use experiences elicited, well months. Results: At three- months post-insertion, 96.9% (95% CI: 91.3, 99.3) 91.8% 82.9, 96.9), respectively, reported still using none out few who discontinued reporting failure. Discontinuation was mainly result experience menstrual bleeding amenorrhea (25.0%), pain (18.8%), partner complaining about strings (16.7%). High (76.5% 86.3% post-insertion) reported. Satisfaction significantly associated having breast tenderness/pain (88.2%) no vaginal bacterial infection (87.5%) compared to experiencing tender/pain (50.0%) (0.0%) (p<0.05). Conclusion: indicates positive potential contraceptive Nigeria.