Grado de satisfacción, impresión del proceso de inserción y cambios en el patrón de sangrado asociados al uso de Jaydess® 13,5 mg sistema de liberación intrauterino en mujeres de entre 18 y 29 años

Introduction

The incidence of unintended pregnancies remains high, even among women with the previous use of contraceptives. The choice of the most suitable contraceptive method, which is influenced by the user's satisfaction, may affect the compliance.

Material and methods

Epidemiological, observational, cross-sectional and multicentre study in women aged between 18 and 29 years who had used the levonorgestrel-releasing intrauterine system Jaydess^® 13.5 mg for 6 months and visited their gynaecologist for a regular follow-up. Information was gathered during a single interview, in which four questionnaires were administered: overall satisfaction, perceived benefits, perception on the insertion process, and changes in bleeding characteristics associated with the use of Jaydess^®.

Results

The study included 840 women with a mean age of 25 years (SD: 3), of whom 29% had children, 85% were in a relationship, and 57% wanted to have children in the future. Previous use of contraceptive methods was reported by 98% (in 87% of cases, male condom). The overall satisfaction with Jaydess^® was 46.9/50 points (SD 4.7), with no significant differences between women with and without children. Main perceived benefits were comfort (87%), prevention of forgetfulness (67%), long acting (63%), and safety (62%). A reduction in the amounts and duration of bleeding were observed by 58% and 45% of participants, respectively. Around 67% of participants did not report pain or reported mild pain during Jaydess insertion.

Discussion

Young women showed high satisfaction regarding the use of Jaydess^®, and deemed it comfortable and safe. The main change observed during the use of Jaydess^® was a reduction in the amount of menstrual bleeding.