Use of Levonorgestrel Intrauterine System for Medical Indications in Adolescents

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This paper reviews the use of the levonorgestrel intrauterine system for medical indications in adolescent patients.

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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.

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MeSH descriptors

Contraceptives, Oral, Synthetic Intrauterine Devices, Medicated Levonorgestrel Adolescent Contraceptives, Oral, Synthetic Female Genital Diseases, Female Genital Diseases, Female Humans Levonorgestrel Menstruation Disturbances Menstruation Disturbances

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Source provenance

europepmc
last seen: 2026-08-18T06:10:16.649438+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-05-13T22:19:05.543671+00:00
License: CC0 · commercial use OK