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Table 3 Summary of satisfaction ratings

From: Discontinuation rates of intrauterine contraception due to unfavourable bleeding: a systematic review

References

Study design

LARC

Time period (months)

Patient satisfaction with contraception, %

Satisfaction with bleeding, %

LNG-IUD

     

Neri et al. [26]

Prospective single-arm

LNG-IUD, 6 µg/day (Jaydess)

12

100% (excellent/optimal/good)

–

Carvalho et al. [28]

Prospective, observational, single-arm

LNG-IUD, 20 µg/day (Mirena)

 > 14

93% highly satisfied

–

Whitaker et al. [30]

RCT

LNG-IUD, immediate vs late insertion following caesarean delivery

12

Immediate vs delayed

91.7% vs 100% (with available data)

–

Stoegerer-Hecher et al. [32]

Cross-sectional

LNG-IUD (Mirena)

NR

90.6% (very/quite/moderately satisfied)

74.1% very satisfied amenorrhoeic, 91.0%

Heikinheimo et al. [16]

Prospective, single-arm

LNG-IUD

12

98.4% (definite/somewhat agreeing)

91.7% (definite/somewhat agreeing)

Nelson et al. [18]a

RCT

LNG-IUD 13.5 mg vs 19.5 mg

36

95% vs 96% (very/somewhat satisfied)

77% vs 76% (very/somewhat satisfied)

Gemzell-Danielsson et al. [17]a

RCT (same study as Nelson et al. 2013)

LNG-IUD 13.5 mg vs 19.5 mg

36

 > 90% (very/somewhat satisfied)

 > 70% (very/somewhat satisfied)

Apter et al. [54]

RCT

LNG-IUD (Jaydess, 13.5 mg) vs ENG

12

86.5% vs 75.9% (very/somewhat satisfied)

60.9% vs 33.6% (very/somewhat satisfied)

Short et al. [56]

Prospective

LNG-IUD (Mirena) vs ENG

24

84% vs 70% (agree)

90% vs 77% (agree)

Short et al. [58]

Prospective, comparative, observational

LNG-IUD (Mirena) vs ENG

12

80% vs 66% (definite/somewhat agree)

–

Cu-IUD

     

Yaron et al. [33]

Retrospective, observational

Cu-IUD, Ballerine MIDI

–

65.7% satisfied/very satisfied

–

Scavuzzi et al. [37]

Cross-sectional, nulligravida vs parous women

Cu-IUD, CuT380A

–

Nulligravida/parous

93.8% vs 94.5% (fully/partially satisfied)

–

Wiebe and Trussell [38]

Prospective case series

Cu-IUD, SCu380A

12

71% satisfied

–

LNG-IUD vs Cu-IUD

     

Flamant et al. [48]

Prospective, comparative, observational

LNG-IUDvs Cu-IUD

6

82.1% vs 86.7% (very/somewhat satisfied) (p = 0.81)

–

McNicholas et al. [49]

Retrospective, comparative, observational

LNG-IUD vs Cu-IUD

9

78.7% vs 85.0% (satisfied) (p = 0.99)

–

Piva et al. [51]

Prospective, comparative, observational

LNG-IUD vs Cu-IUD vs implant

12

87.2% vs 100% vs 63.4%, ns (ITT analysis)

–

Diedrich et al. [21]

Prospective, comparative, cohort study, Contraceptive CHOICE Project

LNG-IUD vs Cu-IUD (CuT380A) vs ENG

6

94% vs 93% vs 90% (very/somewhat satisfied)

–

Modesto et al. [55]

RCT of routine vs intensive counselling

LNG-IUD vs CuT380A IUD vs ENG

12

91.0% vs 85.7% vs 90.0% (p = 0.612)

–

Peipert et al. [24]

Prospective, comparative, cohort study, Contraceptive CHOICE Project

LNG-IUD vs Cu-IUD vs Implant (vs non-LARC)

12

85.7% vs 80.1% vs 78.7% (very/somewhat satisfied)

–

  1. Cu, copper; ENG, etonogestrel; IUD, intrauterine device; IUS, intrauterine system; ITT, intention-to-treat; LARC, long-acting reversible contraceptive; LNG, levonorgestrel; NR, not reported; ns, not significant; RCT, randomised clinical trial
  2. Shading indicates publications reporting the results from the same study
  3. aReport data from the same RCT