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Levonorgestrel
Levonorgestrel is a prescription medication that is a hormone-releasing system placed in the uterus to prevent pregnancy for up to 5 years. This hormone-releasing system is a type of intrauterine system also know as an intrauterine device (IUD). It is also used to lessen menstrual blood loss in women who have heavy menstrual flow and who also want to use a birth control method that is placed in the uterus to prevent pregnancy. Levonorgestrel belongs to a group of drugs called progestins which change the lining of the uterus, alter cervical mucus, and make it difficult for sperm to enter the uterus.
This medication comes in the form of a plastic device that is inserted by a healthcare provider into the uterus.
Common side effects of levonorgestrel include irregular menstrual periods, back pain, headache, and nausea.
Levonorgestrel is a prescription medication that is a hormone-releasing system placed in the uterus to prevent pregnancy for up to 5 years. It is also used to lessen menstrual blood loss in women who have heavy menstrual flow and who also want to use a birth control method that is placed in the uterus to prevent pregnancy.
This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.
Levonorgestrel may be found in some form under the following brand names:
Levonorgestrel is part of the drug class:
Levonorgestrel can cause serious side effects including: 
Common side effects of levonorgestrel include:
Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:
This is not a complete list of levonorgestrel drug interactions. Ask your doctor or pharmacist for more information.
Medications can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of levonorgestrel, there are no specific foods that you must exclude from your diet when receiving this medication.
Before taking or using levonorgestrel, tell your doctor if you:
Tell your doctor about all of the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.
Call your healthcare provider right away if you think you are pregnant. If you get pregnant while using this medication, you may have an ectopic pregnancy. This means that the pregnancy is not in the uterus. Unusual vaginal bleeding or abdominal pain may be a sign of ectopic pregnancy.
Ectopic pregnancy is a medical emergency that often requires surgery. Ectopic pregnancy can cause internal bleeding, infertility, and even death.
There are also risks if you get pregnant while using this medication and the pregnancy is in the uterus. Severe infection, miscarriage, premature delivery, and even death can occur with pregnancies that continue with an intrauterine device (IUD). Because of this, your healthcare provider may try to remove the IUD, even though removing it may cause a miscarriage. If the IUD cannot be removed, talk with your healthcare provider about the benefits and risks of continuing the pregnancy.
If you continue your pregnancy, see your healthcare provider regularly. Call your healthcare provider right away if you get flu-like symptoms, fever, chills, cramping, pain, bleeding, vaginal discharge, or fluid leaking from your vagina. These may be signs of infection.
It is not known if this hormone-releasing system can cause long-term effects on the fetus if it stays in place during a pregnancy.
You may use the intrauterine device (IUD) when you are breastfeeding if more than six weeks have passed since you had your baby. If you are breastfeeding, the IUD is not likely to affect the quality or amount of your breast milk or the health of your nursing baby. However, isolated cases of decreased milk production have been reported among women using progestin-only birth control pills.
First, your healthcare provider will examine your pelvis to find the exact position of your uterus. Your healthcare provider will then clean your vagina and cervix with an antiseptic solution, and slide a thin plastic tube containing the intrauterine device (IUD) into your uterus. Your healthcare provider will then remove the plastic tube, and leave the IUD in your uterus. Your healthcare provider will cut the threads to the right length. Placement takes only a few minutes during an office visit.
You may experience pain, bleeding or dizziness during and after placement. If these symptoms do not pass 30 minutes after placement, the IUD may not have been placed correctly. Your healthcare provider will examine you to see if the IUD needs to be removed or replaced.
You should check that the IUD is in proper position by feeling the removal threads. You should do this after each menstrual period. First, wash your hands with soap and water. Feel for the threads at the top of your vagina with your clean fingers. The threads are the only part of the IUD you should feel when it is in your uterus. Be careful not to pull on the threads. If you feel more than just the threads, the IUD is not in the right position and may not prevent pregnancy. Call your healthcare provider to have it removed. If you cannot feel the threads at all, ask your healthcare provider to check the IUD is still in the right place. In either case, use a non-hormonal birth control method (such as condoms or spermicide) until otherwise advised by your healthcare provider.
Call your healthcare provider if you have any questions or concerns. Otherwise, you should return to your healthcare provider for a follow-up visit 4 to 12 weeks after the IUD is placed to make sure that it is in the right position.
Call your healthcare provider if you have any concerns about this medication. Be sure to call if you:
The intrauterine device (IUD) contains 52 mg of levonorgestrel. Initially, levonorgestrel is released at a rate of approximately 20 mcg/day. This rate decreases over time to half that amount after 5 years.

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