title: Experience and levels of satisfaction with the levonorgestrel-releasing intrauterine system in China: a prospective multicenter survey.
abstract: BACKGROUND
  Although surveys conducted in Western countries have shown that the levonorgestrel-releasing intrauterine system (LNG-IUS; Mirena(®)) is well accepted by European women, its acceptance by Chinese women is not yet clearly known. The purpose of this study was to analyze the experiences and levels of satisfaction with Mirena among Chinese women living in 12 different cities.
  
  
  METHODS
  In total, 1,021 women who attended 21 medical centers for insertion of Mirena were invited to complete a questionnaire regarding their contraceptive decision at baseline (preinsertion), and two further questionnaires on their experience and satisfaction with Mirena at 3-6 months and 1 year after insertion.
  
  
  RESULTS
  At baseline, 36% of women self-reported heavy or very heavy menstrual bleeding, while 41% reported normal bleeding. The majority of women (98%) were satisfied with the preinsertion counseling, during which contraceptive reliability was identified as the most important reason for considering Mirena. Continuation rates for Mirena were 99% at 3-6 months and 93% at 12 months after insertion, and most women (92% and 93%, respectively) had less bleeding at these times. The percentage of women who rated Mirena as better than their previous contraceptive method was 63%. Overall, around 90% of respondents were very satisfied or rather satisfied with Mirena, and 64% stated that they would recommend it to their friends.
  
  
  CONCLUSIONS
  These data suggest that continuation and satisfaction rates with Mirena were very high, and that the device is well accepted by Chinese women.
authors.affiliation: The Affiliated Hospital of the Medical College Qingdao University, Qingdao, People's Republic of China.
authors.forename: Shuping
authors.initials: S
authors.lastname: Zhao
authors.affiliation: Kunming Maternal and Child Health Hospital, Kunming, People's Republic of China.
authors.forename: Jihong
authors.initials: J
authors.lastname: Deng
authors.affiliation: Hubei Maternity and Child Health Hospital, Wuhan, People's Republic of China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Wang
authors.affiliation: West China Second University Hospital, Sichuan University, Chengdu, People's Republic of China.
authors.forename: Shiliang
authors.initials: S
authors.lastname: Bi
authors.affiliation: Peking University Third Hospital, Beijing, People's Republic of China.
authors.forename: Xiaoye
authors.initials: X
authors.lastname: Wang
authors.affiliation: Changzhou Maternity and Child Health Hospital, Affiliated to Nanjing Medical University, Jiangsu, People's Republic of China.
authors.forename: Wen
authors.initials: W
authors.lastname: Qin
authors.affiliation: The Affiliated Women's Hospital of Fudan University, Shanghai, People's Republic of China.
authors.forename: Zirong
authors.initials: Z
authors.lastname: Huang
authors.affiliation: Guangzhou Women and Children's Medical Center, Guangzhou, People's Republic of China.
authors.forename: Li
authors.initials: L
authors.lastname: Li
authors.affiliation: Maternity and Child Health Care Hospital, Shunyi District, Beijing, People's Republic of China.
authors.forename: Xin
authors.initials: X
authors.lastname: Mi
authors.affiliation: The First Affiliated Hospital of Zhengzhou University, Zhengzhou City, Henan, People's Republic of China.
authors.forename: Liping
authors.initials: L
authors.lastname: Han
authors.affiliation: Southwest Hospital, Chongqing City, Chongqing, People's Republic of China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Chang
authors.affiliation: Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing, People's Republic of China.
authors.forename: Jian
authors.initials: J
authors.lastname: Li
keywords: contraception; intrauterine device; levonorgestrel-releasing intrauterine system; user satisfaction