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🔹 Hormone-Releasing IUD – Levonorgestrel 52 mg (As Licensed)
📄 Description:
The Levonorgestrel-releasing intrauterine device (LNG-IUD) is a long-acting reversible contraceptive (LARC). It is a T-shaped plastic device placed inside the uterus that slowly releases Levonorgestrel, a progestin hormone. One of the most common brands is Mirena or its equivalents.
💊 Prescription / Use:
- Indications:
- Contraception (up to 5 years)
- Heavy menstrual bleeding (menorrhagia)
- Endometrial protection in estrogen replacement therapy
- Dosage/Form:
- Contains 52 mg of Levonorgestrel, released at approx. 20 micrograms/day
- Inserted intrauterinely by a trained healthcare provider
- Duration of action:
- Effective for up to 5 years
🔬 Nature:
- Hormonal intrauterine device
- Mechanism of action:
- Thickens cervical mucus to prevent sperm entry
- Inhibits sperm motility and function
- Thins the endometrial lining
- May partially suppress ovulation in some users
🌟 Advantages:
- Highly effective (over 99%)
- Long-term, reversible contraception
- Reduces menstrual bleeding and cramps
- Convenient—no daily action required
- Preserves fertility after removal
- Can be used during breastfeeding
- May treat endometrial hyperplasia or heavy periods
📦 Common Packaging:
- Sterile preloaded applicator in a sealed pouch
- Single-use unit containing:
- T-shaped device
- Inserter system
- Instruction leaflet
🧊 Storage:
- Store below 30°C
- Keep in original packaging until use
- Protect from moisture and direct sunlight
- Use before the expiry date
⚠️ Precautions:
- To be inserted by trained clinician
- Not suitable for:
- Active pelvic infection (PID)
- Unexplained vaginal bleeding
- Breast cancer, liver disease
- Distorted uterine cavity
- Recent or recurrent ectopic pregnancy
- Side Effects May Include:
- Irregular bleeding/spotting (common in early months)
- Pelvic pain or cramping
- Ovarian cysts (usually resolve on their own)
- Rare risk of uterine perforation or expulsion
👩⚕️ Patient Advice:
- Check strings monthly after periods to ensure placement
- Inform doctor if you experience:
- Severe abdominal pain
- Missed periods or signs of pregnancy
- Foul-smelling discharge, fever
- May experience spotting or irregular bleeding at first
- Does not protect against HIV/STIs — use condoms if needed
- Can be removed anytime by a healthcare provider
- Regular follow-up and annual check-ups recommended