Name of the Procedure:

Levonorgestrel-Releasing Intrauterine Contraceptive System (Liletta), 52 mg
Common Name: Liletta IUD
Medical Term: Levonorgestrel-Releasing Intrauterine Device (IUD)

Summary

Liletta is a small, T-shaped device that is inserted into the uterus to prevent pregnancy. It releases a hormone called levonorgestrel over time to provide long-term contraception.

Purpose

Liletta is used to prevent pregnancy. It offers a hormonal method of birth control that can be effective for up to six years. The device works by thickening the cervical mucus to prevent sperm from reaching the egg, thinning the uterine lining, and in some cases, inhibiting ovulation.

Indications

Liletta is indicated for women seeking long-term contraception. It is appropriate for those who:

• Desire an effective, low-maintenance birth control method.
• Prefer a hormonal method of contraception.
• Are in good general health and can use hormonal contraceptives.

Preparation

• A consultation with a healthcare provider to ensure it is a suitable option.
• Pregnancy must be ruled out prior to insertion.
• A pelvic exam and possibly a Pap smear or STI screening may be performed.
• Patients may be advised to take an over-the-counter pain reliever before the procedure to minimize discomfort.

Procedure Description

1. The patient lies on an exam table with feet in stirrups.
2. The healthcare provider passes a speculum to visualize the cervix.
3. The cervix is cleaned with an antiseptic solution.
4. A thin, flexible tube containing the IUD is inserted through the cervix into the uterus.
5. The IUD is then released from the tube, and the tube is removed.
6. The IUD's strings are trimmed to an appropriate length.

Duration

The procedure typically takes about 5-10 minutes.

Setting

Liletta insertion is performed in a healthcare provider's office, outpatient clinic, or family planning clinic.

Personnel

The procedure is usually conducted by a gynecologist, primary care physician, or a trained nurse practitioner. An assisting nurse may also be present.

Risks and Complications

Common:

• Cramping and discomfort during and after insertion
• Spotting between periods Rare:
• Expulsion of the IUD
• Perforation of the uterine wall during insertion
• Infection

Benefits

• Long-term contraception lasting up to 6 years.
• Highly effective at preventing pregnancy.
• Can reduce menstrual bleeding and cramping over time.
• Reversible; fertility typically returns quickly after removal.

Recovery

• Mild cramping and spotting are common during the first few days after insertion.
• Normal activities can usually be resumed immediately.
• Follow-up appointment in 4-6 weeks to check IUD placement.
• Avoid tampons, douching, and sexual intercourse for 24-48 hours to prevent infection.

Alternatives

Other contraceptive options include:

• Birth control pills, patches, or rings
• Non-hormonal IUDs (e.g., copper IUD)
• Condoms
• Permanent methods like tubal ligation or vasectomy Each alternative has its own set of pros and cons in terms of effectiveness, maintenance, and side effects.

Patient Experience

During the procedure, patients may experience discomfort similar to menstrual cramps. Post-procedure, mild cramping and spotting are common. Pain management can include over-the-counter pain relievers. The healthcare provider will take steps to ensure the patient’s comfort throughout the process.