SATISFACTION OF USERS OF THE LEVONORGESTREL-RELEASING INTRAUTERINE SYSTEM IN A PUBLIC SERVICE IN THE FEDERAL DISTRICT

Abstract

Objective: To evaluate the satisfaction of users of the levonorgestrel-releasing intrauterine system (LNG-IUS) enrolled in the reproductive planning outpatient clinic of the Hospital Materno Infantil de Brasília (HMIB). Materials and methods: This is a descriptive study, with a quantitative approach with all patients who underwent IUS-LNG insertion in the family planning outpatient clinic of a public hospital in the Federal District between 2015 and 2020. Results: A total of 144 patients were selected, 81 were excluded, and 63 patients who met the inclusion criteria were included in the present study. About 49.2% of the patients were using contraceptive pills before insertion; 44.3% wanted to stop menstrual bleeding when using LNG-IUS; 30.2% of these reported menstrual pattern success in the interval referring to the 4 months prior to the interview; About 27% menstruated in less quantity and 14.3% menstruated in fewer days. The main causes of dissatisfaction and discontinuation of LNG-IUS are changes in menstrual pattern, such as increased frequency and volume of bleeding, amenorrhea, and spotting. In terms of satisfaction with life, 50% of the patients declared that their lives were close to the expected ideals; 38.7% declared to have excellent living conditions; 43.5% declared that they obtained what was important in life and 30.6% declared that they were in disagreement with the information that if I could live my life again, it would change practically nothing. Conclusion: The analysis of the satisfaction of IUS-LNG users in the present study demonstrates that, despite the challenges associated with side effects such as spotting and irregular bleeding, the device is widely accepted and contributes to the improvement of the quality of life of women who use it.