Insertion experience of women and health care professionals in the Kyleena® Satisfaction Study

Eur J Contracept Reprod Health Care. 2020 Jun;25(3):182-189. doi: 10.1080/13625187.2020.1736547. Epub 2020 Mar 30.

Abstract

Purpose: The Kyleena® Satisfaction Study (KYSS) is a prospective, observational study conducted to assess satisfaction with LNG-IUS 12 (Kyleena®) in clinical practice and aims to provide adequate information for counselling women on what to expect regarding insertion and satisfaction.Materials and methods: Women deciding to use LNG-IUS 12 during routine counselling were informed of the study and provided informed consent. A baseline analysis was conducted to evaluate demographics, ease of insertion assessed by investigators, pain at insertion rated by women, additional interventions for insertion, and adverse events.Results: 1,110 women (536 parous, 574 nulliparous) had an insertion attempt and were included. Insertion was rated as easy in 494 (92.2%) parous and 516 (89.9%) nulliparous women. Pain was assessed as none or mild by 475 (88.6%) parous and 387 (67.4%) nulliparous women. Additional interventions were not required for most insertions (705; 63.6%). Overall 111 (10.0%) women reported adverse events at the time of baseline analysis.Conclusions: This analysis demonstrates that LNG-IUS 12 insertion is easy and associated with no or mild pain in most women. Additional interventions for insertion are not required in most cases. After 3 months, the number of adverse events is low.Implications: The present baseline analysis of the Kyleena® Satisfaction Study (KYSS) demonstrates that most women rate insertion pain of LNG-IUS 12 as none or mild and clinicians consider insertion easy in the majority of cases.

Keywords: Intrauterine device; NCT03182140; hormonal intrauterine contraception; hormonal intrauterine device; insertion ease; insertion pain; intrauterine contraception; levonorgestrel-releasing intrauterine system.

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Adult
  • Contraceptive Agents, Female / administration & dosage*
  • Female
  • Humans
  • Intrauterine Devices, Medicated*
  • Levonorgestrel / administration & dosage*
  • Pain, Procedural / etiology*
  • Patient Satisfaction / statistics & numerical data*
  • Prospective Studies
  • Young Adult

Substances

  • Contraceptive Agents, Female
  • Levonorgestrel