title: Use of levonorgestrel intrauterine system for medical indications in adolescents.
abstract: The levonorgestrel intrauterine system (LNG-IUS) is an underused contraceptive method in adolescent populations. In addition to being a highly effective, reversible, long-acting contraception, the LNG-IUS has many noncontraceptive health benefits including reduced menstrual bleeding, decreased dysmenorrhea and pelvic pain related to endometriosis, and menstruation suppression in teens with physical or developmental disabilities. The LNG-IUS can also provide endometrial protection in teens with chronic anovulation, and may be used to treat endometrial hyperplasia and cancer. This review examines the evidence supporting the use of the LNG-IUS in adolescents for these noncontraceptive benefits.
authors.affiliation: Department of Obstetrics and Gynecology, Oregon Health and Science University, Portland, Oregon 97239, USA. bayerl@ohsu.edu
authors.forename: Lisa L
authors.initials: LL
authors.lastname: Bayer
authors.forename: Paula J Adams
authors.initials: PJ
authors.lastname: Hillard
mesh_terms: D000293:Adolescent; D003280:Contraceptives, Oral, Synthetic / Q000008:administration & dosage*; D005260:Female; D005831:Genital Diseases, Female / Q000188:drug therapy; D006801:Humans; D007436:Intrauterine Devices, Medicated; D016912:Levonorgestrel / Q000008:administration & dosage*; D008599:Menstruation Disturbances / Q000188:drug therapy
chemical_list: D003280:Contraceptives, Oral, Synthetic; D016912:Levonorgestrel