PMID- 27494570 OWN - NLM STAT- MEDLINE DCOM- 20170503 LR - 20170503 IS - 1473-0782 (Electronic) IS - 1362-5187 (Linking) VI - 21 IP - 5 DP - 2016 Oct TI - A multicentre, open-label, randomised phase III study comparing a new levonorgestrel intrauterine contraceptive system (LNG-IUS 8) with combined oral contraception in young women of reproductive age. PG - 372-9 LID - 10.1080/13625187.2016.1212987 [doi] AB - OBJECTIVES: To compare user satisfaction and adverse events (AEs) with a levonorgestrel intrauterine system (LNG-IUS 8; average levonorgestrel release rate approximately 8 mug/24 h over the first year [total content 13.5 mg]) and a 30 mug ethinyl estradiol/3 mg drospirenone (EE/DRSP) combined oral contraceptive (COC) in a population of young women. METHODS: Nulliparous and parous women (aged 18-29 years) with regular menstrual cycles (21-35 days) were randomised to LNG-IUS 8 or EE/DRSP for 18 months. The primary endpoint was the overall user satisfaction rate at month 18/end of study visit. RESULTS: Overall, 279 women were randomised to LNG-IUS 8 with attempted placement and 281 women were randomised to EE/DRSP and took >/=1 pill; the mean age was 23.7 and 23.9 years, and 77.4% and 73.3% were nulliparous, respectively. At month 18/end of study, 82.1% and 81.9% of women, respectively, reported being 'very satisfied' or 'satisfied' with their treatment; however, significantly more LNG-IUS 8 users reported a preference to continue their treatment post-study (66.2% vs 48.8%; p = 0.0001). There were two pregnancies (one ectopic pregnancy, one spontaneous abortion) reported in the LNG-IUS 8 group and six (three live births, two spontaneous abortions, one induced abortion) in the EE/DRSP group. CONCLUSIONS: LNG-IUS 8 and EE/DRSP were associated with similarly high user satisfaction rates. However, LNG-IUS 8 users were significantly more likely to prefer to continue their contraceptive method post-study, indicating that a levonorgestrel intrauterine system is an appealing contraceptive option for young women. FAU - Borgatta, Lynn AU - Borgatta L AD - a Department of Obstetrics and Gynecology , Boston University School of Medicine , Boston , MA , USA ; FAU - Buhling, Kai J AU - Buhling KJ AD - b Department of Gynecological Endocrinology , University Hospital Hamburg-Eppendorf , Hamburg , Germany ; FAU - Rybowski, Sarah AU - Rybowski S AD - c Bayer HealthCare Pharmaceuticals , Whippany , NJ , USA ; FAU - Roth, Katrin AU - Roth K AD - d Bayer Pharma AG , Berlin , Germany. FAU - Rosen, Kimberly AU - Rosen K AD - c Bayer HealthCare Pharmaceuticals , Whippany , NJ , USA ; LA - eng PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20160805 PL - England TA - Eur J Contracept Reprod Health Care JT - The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception JID - 9712127 RN - 0 (Androstenes) RN - 0 (Contraceptive Agents, Female) RN - 0 (Contraceptives, Oral, Combined) RN - 0 (drospirenone and ethinyl estradiol combination) RN - 423D2T571U (Ethinyl Estradiol) RN - 5W7SIA7YZW (Levonorgestrel) SB - IM MH - Adolescent MH - Adult MH - Androstenes/*therapeutic use MH - Austria MH - Belgium MH - Contraceptive Agents, Female/therapeutic use MH - Contraceptives, Oral, Combined/*therapeutic use MH - Ethinyl Estradiol/*therapeutic use MH - Female MH - Germany MH - Humans MH - *Intrauterine Devices, Medicated MH - Levonorgestrel/*therapeutic use MH - Patient Satisfaction MH - United States MH - Young Adult OTO - NOTNLM OT - Combined oral contraception OT - LARC OT - LNG-IUS OT - intrauterine contraception OT - intrauterine system OT - long-acting reversible contraception EDAT- 2016/08/06 06:00 MHDA- 2017/05/04 06:00 CRDT- 2016/08/06 06:00 PHST- 2016/08/06 06:00 [entrez] PHST- 2016/08/06 06:00 [pubmed] PHST- 2017/05/04 06:00 [medline] AID - 10.1080/13625187.2016.1212987 [doi] PST - ppublish SO - Eur J Contracept Reprod Health Care. 2016 Oct;21(5):372-9. doi: 10.1080/13625187.2016.1212987. Epub 2016 Aug 5.