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The generic name of Liletta is levonorgestrel. Some of these cases settled in 2018 for $2.2 million. LILETTA (LEVONORGESTREL): This product is a small, flexible device that is placed in the womb (uterus) to prevent pregnancy. Liletta is used to prevent pregnancy. no im not pregnent cus i hadnt had sex sance after my child. Properly position the IUD in your uterus. I was under the impression that since I had never had a vaginal birth the IUD insertion experience would be absolutely horrible. Vaginal infections and acne are also common. Paragard. Pelvic Inflammatory Disease (PID) (a type of infection of the reproductive organs), 2767 IN RE: Mirena IUS Levonorgestrel-Related Products Liability Litigation (No. Superior Court of New Jersey Law Division: Bergen County. 297. Mirena lawsuits stem from the device's severe side effects. The only possible negative Ive had so far is that Ive had some new acne pop up, but it could be totally unrelated. After insertion, you might still experience some pain . Drugs A-Z provides drug information from Everyday Health and our partners, as well as ratings from our members, all in one place. This occurs when the IUD migrates into the abdominal cavity. We are sorry if you are just getting this news now from us. Privacy Statement. All rights reserved. The court consolidated these cases into a multicounty litigation (No. This was based on her own personal experiences she also has one and out of all of her patients she stated this was the best IUD out there. They are to the point where it will take the breath out of me. This site is intended for U.S. consumers only. I got my Liletta placed 12/2017,I was 18 at the time. Lawyers for the plaintiffs appealed the dismissal, but the U.S. Court of Appeals for the Second Circuit affirmed the dismissal in October 2017. Drugwatch is located at: My doctor also did an ultrasound before and after the IUD insertion so maybe he had a better idea of the tilt of my uterus. The infections also left thousands more infertile and led to over $400 million in settlements before its manufacturer went out of business. Prior results do not predict a similar outcome. Testing Positive for COVID-19: It Felt Like I Had a Compression Belt Around My Chest, COVID-19: A Consumers Guide to the Coronavirus, Trial Attorney and Pharmaceutical Litigation Expert, Philips Recalls Some Remediated DreamStation CPAP, BiPAP Devices, Erika Sward of American Lung Association Reveals the Dangers of Vaping and IQOS, This article contains incorrect information, This article doesn't have the information I'm looking for, Organ perforation, device migration, ectopic pregnancy, pseudotumor cerebri, Mirena IUD Litigation Revives Memories of Dalkon Shield Injuries, IUD Birth Control Like Mirena and Skyla Are Safe for Teens, Study Says, EzriCare & Delsam Artificial Tears Lawsuits, https://www.quarterly-report-2018-q1.bayer.com/, https://www.njcourts.gov/attorneys/assets/mcl/mirena/orders/05918schedulea.pdf?cacheID=JUZPY6n, https://www.njcourts.gov/attorneys/assets/mcl/mirena/orders/cmo56.pdf?cacheID=tvBoxLL, https://www.njcourts.gov/attorneys/assets/mcl/mirena/caselist.pdf, http://www.jpml.uscourts.gov/sites/jpml/files/Pending_MDL_Dockets_By_District-June-15-2018.pdf, https://www.lexislegalnews.com/articles/19634/bayer-plaintiffs-say-they-ve-agreed-to-settle-mirena-iud-perforation-claims, https://www.chamberlitigation.com/sites/default/files/cases/files/17171717/Opinion%20%26%20Order%20--%20In%20re%20Mirena%20IUD%20Products%20Liability%20Litigation%20%28USDC%20-%20Southern%20District%20of%20New%20York%29.pdf, https://jc6kx1c9izw3wansr3nmip8k-wpengine.netdna-ssl.com/wp-content/uploads/2017-2-10-mirena-everett-carey-complaint.pdf, https://www.law360.com/articles/830589/wipeout-of-mirena-mdl-to-be-challenged-at-2nd-circ, https://www.njcourts.gov/notices/2012/n120814b.pdf, http://www.jpml.uscourts.gov/sites/jpml/files/MDL-2767-Initial_Transfer-03-17.pdf, https://www.lexislegalnews.com/articles/12636/judicial-panel-reopens-mirena-iud-mdl-plaintiffs-cite-patent-hormone-disclosure, http://ij.org/wp-content/uploads/2017/11/16-2890_so.pdf, https://www.jpml.uscourts.gov/sites/jpml/files/Pending_MDL_Dockets_By_District-April-15-2019.pdf. MDL No. Our writers are members of professional associations, including American Medical Writers Association, American Bar Association, The Alliance of Professional Health Advocates and International Society for Medical Publication Professionals. I did not have any negative side effects and my period subsided completely. Ectopic pregnancy can cause internal bleeding. Learn more about the LILETTA PATIENT SAVINGS PROGRAM This is my first IUD. Judicial Panel on Multidistrict Litigation. Mirena is a little larger than a quarter. (2018, May 9). Drugwatch.com partners with law firms. Even more concerning is a perforation. Many individual Mirena lawsuits have been consolidated into federal multidistrict litigation (MDL). We are not taking these claims and, regrettably, we do not know any lawyers that are. This most recent deal was reached to settle a portion of the 39,000 lawsuits , consolidated in California and Pennsylvania, alleging the Essure device caused excessive . In April 2018, Judge Rachelle Harz appointed a Special Master. (2016, November 15). Take a look at the timeline below. They are said to be 99.7% effective, and there is no risk of user error on forgetting to take the pill or insert a diaphragm. Lawyers drafted the master settlement agreement in April 2018. IUD Coding E/M Service and IUD Insertion. Specifically, women who used Mirena or other levonorgestrel products more commonly develop pseudotumor cerebri. LILETTA (levonorgestrel-releasing intrauterine system) The insertion wasn't terrible. Mirena lawsuits claim the birth control device causes serious side effects. Sorry there was an error. i didnt have any problems with paragurd and bleeding. Assisting patients and their families since 2008. My heavy periods did decrease. Liletta is a drug marketed by Medicines360 and is included in one NDA. Common side effects of Liletta include: vaginal and vulvovaginal infections, acne, The information on this page has been compiled for use by healthcare practitioners and consumers in the United States and therefore neither Everyday Health or its licensor warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. If your Mirena IUD caused a serious side effect, you should consider starting legal action. You are encouraged to report negative side effects of prescription drugs to the FDA. So far, Bayer has only offered to settle perforation lawsuits. Liletta is under study in a prospective phase 3 clinical trial aimed at extending the approved duration of this levonorgestrel 52-mg IUS. Insert the Liletta IUD into your uterus through your vagina and cervix. I got Liletta in May of this year, mainly to stop having periods, which my experience has been quite the opposite. Therapeutic Advances in Drug Safety. Im getting this removed in a week. There are currently more than 2,000 Mirena IUD injury lawsuits pending against Bayer Healthcare in state and federal courts . Willet G. NDA Clinical Review: Mirena (Levonorgestrel-releasing intrauterine system). You may become pregnant if LILETTA comes out. In April 2018, plaintiffs and defendants gathered to go over the medical and scientific issues surrounding Mirena, according to the court docket. Both are in the Southern District of New York. Every effort has been made to ensure that the information provided by on this page is accurate, up-to-date, and complete, but no guarantee is made to that effect. Under certain circumstances and when supported by documentation, it may be appropriate to report a CPT procedure code, an E/M code, and a HCPCS supply code for the one visit. Bayer also failed to state that Mirena was primarily recommended for women who already had at least one child. (Paragard is an intense focus of litigation still in 2020.). recommend copper more then this liletta. The information on Drugwatch.com has been medically and legally reviewed by more than 30 expert contributors, including doctors, pharmacists, lawyers, patient advocates and other health care professionals. Because Liletta releases LNG into your uterus, only small amounts of the hormone enter your blood. I just called to have it switched out but they said it is approved for 7 years now, so I have another year before I need it replaced. Our lawyers are not taking Mirena cases in 2021 and we do not know any attorneys who are. The insertion itself was a little painful but on a scale of 1-10, I would rate 5 in pain. Its out now and i pray its the root of my weight problem as i do exercise and eat well! So far so good. Posted on Feb 14, 2019. Boarding & Prep School Sexual Abuse Lawsuit, Levonorgestrel Implants and Intracranial Hypertension. When placed in the stream of commerce, Mirena contained unreasonably dangerous design defects and was not reasonably safe as intended to be used, subjecting the Plaintiff to risks that exceeded the benefits.. This may include plaintiffs who choose not to sign onto the April 2018 settlement. Other claims related to ectopic pregnancy and idiopathic intracranial hypertension (ITC) are still outstanding. Serious complications have emerged with Mirena. Retrieved from, Sieniuc, K. (2016, August 19). I wish I'd never gotten it. To date, the study has shown that the pregnancy rate is very low (0.55%) for up to five years of use. The product's dosage form is intrauterine device and is administered via intrauterine form. I had Liletta inserted in March 2020--while I could take BC pills every day, they were annoying and led to anxiety over whether I had remembered them. These women required surgery to treat complications. facilitate the communication requested, and will not be stored. 56. Pseudotumor cerebri (PTC) is a buildup of pressure in the brain. Overall, Liletta has been a dream for me! Many women are still calling us with migration and IIH cases. One of our content team members will be in touch with you soon. Drug information contained herein may be time sensitive. There may be a cost associated with getting an IUD. There are also risks if you get pregnant while using LILETTA and the pregnancy is in the uterus. Migration leads to injuries such as perforation and organ damage. Just felt like a slight cramp for a couple seconds. Bayer. In your description, mention the brand, dose, and period of time that you used the drug or treatment. After that however I have occasional spotting and thats it. If you are reading online that there are lawyers that want these cases, is is most likely because they have not updated their websites. Transfer Order. Our firm is investigating potential lawsuits on behalf of individuals who developed breast cancer. Sorry there is a continuing error in our system. Columbia University. IUD malposition is very common, occurring in 10% to 20% of patients. It was painful but probably like a 3 on a scale of ten. This is known as pseudotumor cerebri (PTC). She and her husband filed a suit accusing Bayer of negligence and reckless disregard for public safety. The IUDs have long caused problems. Warnings PID or endometritis can cause serious problems such as This drug has twenty-four patent family members in nineteen countries. Im not sure if it started messing up or something as Im not truly sure how it works at releasing the prescribed amount everyday but i wanted it out! The information within the Reviews and FAQ tabs is proprietary to Everyday Health. Women who filed Mirena lawsuits accuse Bayer of knowingly harming them, and they want compensation for medical expenses, lost wages, and pain and suffering. Liletta has the second highest progesterone dosage. IUD insertion was June 2019 and I had it removed Sept 2020. Mirena litigation has ended, and Bayer has offered one publicly disclosed settlement. Mirena lawsuits, like other medical device lawsuits, are filed on what is known as a contingency basis. This lasted about 10 minutes. i been bleeding for 2 months straight, heavy. The sNDA seeks to extend Mirena's labeling to allow use up to six years. department toll-free at 1.800.678.1605. foul-smelling vaginal discharge, low abdominal or pelvic pain, painful sex, genital lesions or sores, chills, or fever, LILETTA may partially go into (become embedded) or go completely through (perforate) the wall of the uterus. The intrauterine device (IUD) has migrated, perforating the uterus in some cases. I wrote all of these side affects off to having a new baby, and now 3 years later, I know it has to be this IUD. Periods were great during the time of having it, but horrible side effects. Drugwatch.com is HONCode (Health On the Net Foundation) certified. After is the part that hurts because you get really bad cramps and normally with cramps they go away and come back but it stays for the first hour. Its been a couple of weeks, so far, so good. Having sex was terrible and my husbands penis would sometime snag on the string. The biggest is that the copper IUD (Paragard) is non-hormonal, while the other four (Mirena, LILETTA, Kyleena, and Skyla) contain a hormone called levonorgestrel, which is a type of progestin. There are only three hormonal IUDs currently available on the U.S. market: Skyla, Liletta, and Mirena. Im not sure if it was my doctors technique or if it was just me, he did prescribe me a medication to be used vaginally the night before insertion to help soften the cervix. The Contraceptive CHOICE project points to the need for affordable LARCs in the U.S. Judicial Panel on Multidistrict Litigation. I have had a great experience with this IUD.I had previously used the pill ( which gave me lumps on my breast ) and the BC injections ( which made me gain 15 pounds ).I stopped having my period all together by summer 2018. Retrieved from, United States District Court Southern District of New York. Im SHOOK! What are the types of IUDs? My mood also got stable as my periods always brought on huge mood swings prior to this IUD. LILETTA and its design are registered trademarks of Odyssea Pharma SPRL, an AbbVie company. Some people works with but it was awful for me. However, as required by the new California Consumer Privacy Act (CCPA), you may record your preference to view or remove your personal information by completing the form below. I consistently had my period every month for almost two weeks and had spotting in between each period. The settlement only included claims related to IUD migration and perforation. Getting it inserted and removed was super easy luckily. Legal Risks. LILETTA (levonorgestrel-releasing intrauterine system) 52 mg is a hormone-releasing system placed in your uterus to prevent pregnancy for as long as you want for up to 8 years. The following table illustrates coding when an IUD insertion and an office visit occur at the same encounter. I also understand that Miller & Zois works with multiple law firms on these claims and that I may be contacted by an affiliated law firm working with Miller & Zois on these lawsuits. I became pregnant and they could not find the device. The NDC code 0023-5858 is assigned by the FDA to the product Liletta which is a human prescription drug product labeled by Allergan, Inc.. Both types of IUDs work by preventing the sperm to reach your egg. (2016, July 28). by Robin Watkins, CNM, WHNP-BC. December of 2019 I had to have surgery because I had cyst on my ovaries and I had endo but I didnt have anything like that before I had it put in. IUDs are safe for use and once removed, the body becomes fertile for reproduction again. Our law firm is currently filing Mirena lawsuits alleging that the IUD, which uses a synthetic form of progestin, causes serious side effects, including idiopathic intracranial hypertension and pseudotumor cerebri, a condition in which increased blood pressure . The pseudotumor and cerebri idiopathic intracranial hypertension cases which we were once very high on are free falling after a federal judge struck all of the plaintiffs causation witnesses in June 2019. IUD expulsion is common, with a rate of approximately 3% to 11%. 297) in New Jersey Superior Court Bergen County. The twelve Mirena IUD lawsuits that are going to go first in federal court have been selected. 1995;332(25):1720-1. doi: 10.1056/NEJM199506223322519. Order of Dismissal. Board-certified physicians medically review Drugwatch content to ensure its accuracy and quality. Calling this number connects you with a Drugwatch representative. Completely awful!!! However, I experienced 9 or 10 (out of 10) pain for the rest of the day, and I have high pain tolerance. The 52 mg device, similar in size to the Mirena IUD, was approved for the U.S. in February 2015. But seriously, this sucks. Case 7:13-mc-02434-CS-LMS. Similar to perforation lawsuits, migration lawsuits allege the device migrated outside the uterus. Upon delivery, they were able to do an X-ray and found it migrated to my right hip. In April 2021, the Multicounty Litigation designation for Mirena IUD lawsuits in New Jersey officially ended given that all "active litigation has resolved." This was the formal ending to litigation that has long been over. The company offered to settle some perforation lawsuits for $12.2 million. on February 08, 2019 to ensure that it meets our rigorous editorial standards. Research studies have linked the hormone in the Mirena IUD with this dangerous condition. Michelle Llamas has been writing articles and producing podcasts about drugs, medical devices and the FDA for nearly a decade. Ive never had a painless and light period before in my entire life! So far so good! I told her my weight was a concern and she told me not to worry. LILETTA Bayer, Plaintiffs Say Theyve Agreed to Settle Mirena IUD Perforation Claims. They also claim the company used deceptive advertising and hid the risk of complications. Planned Parenthood Federation of America, Inc. In 2023, we are seeing Paragard IUD lawsuits because of similar problems. August 13, 2012. she said it be better cus the copper one made womens period heavy. Remember to always consult your physician or health care provider before starting, stopping, or altering a treatment or health care regimen. I understand that submitting this form does not create an attorney-client relationship. In the newest group of Mirena lawsuits, women in MDL 2767 claim Mirena caused pseudotumor cerebri. All day everyday, no matter how much sleep I get. The day of, I took 2 Advil and my OB also. IUDs are inserted into the uterus by a doctor, and they can last from 3 to 10 years, depending on the brand. In cases where the IUD migrates, women likely need to have Mirena surgically removed. Risk of perforation is increased in breastfeeding women, LILETTA may come out of your uterus (expulsion). After a few months, my OB scheduled a follow up appt, and the strings had softened significantly, and my partner could barely feel them. Honestly its nothing to worry about or be scared about its over so fast. I received this IUD in 2015. Grant GA. Notice to the Bar: Mass Torts Application for Centralized Management (Multicounty Litigation) of New Jersey State-Court Litigation Involving Mirena Contraceptive Device. IMPORTANT SAFETY INFORMATION Who is not appropriate for LILETTA 21-225 Mirena intrauterine system, from Department of Health & Human Services to Bayer Healthcare Pharmaceuticals, Inc. U.S. Food & Drug Administration. Retrieved from, U.S. Etminan M, Luo H, Gustafson P. Risk of intracranial hypertension with intrauterine levonorgestrel. At least 2,700 women have sued Bayer over these adverse events. However, Bayer's marketing did not include this information. Law360. . Your web browser is no longer supported by Microsoft. The doctors were apologetic to what happened and I didnt put up a fight about it. I am a single mom and very happy with the product. Mirena Breast Cancer Lawsuits If you are having difficulty paying for your medicine, AbbVie may be able to help. There are currently three sets of mass torts covering Mirena IUDs: Many women have experienced complications due to a buildup of pressure in the brain. I sat for a few mins to ensure I wouldnt get dizzy then I was on my way. New Jersey Courts. Not to mention I had to have it put in twice because the doctor pulled the first one out on accident. The case settled and I got a lot more money than I expected. Hurt horribly during insertion, but it was brief. Today, I got Liletta removed and looking forward to getting back to my normal self and comfortable weight. I took three Advil and two Tylenol before hand which helped a lot. Insertion was painful! An IUD is a birth control option that can last for years. Prescribing Information. Liletta may also be used for purposes not listed in this guide. LILETTA is now indicated for up to 6 YEARS. The MCL was closed in April 2021. April 10, 2018. Not pregnant and no horrible side effects. LILETTA (levonorgestrel-releasing intrauterine system) 52 mg is a hormone-releasing system placed in your uterus to prevent pregnancy for as long as you want for up to 8 years. Attorneys Baby Formula CPAP Hernia Mesh Paragard IUD Xeljanz Locations Call or Message Us 24/7 877-504-7750 Required Field Elmiron Update your browser for more security, speed and compatibility. On Liletta I gained 20 lbs in a year, developed severe fatigue, anxiety and depression and got hormonal acne all over my chin. This included 113 pending Mirena cases in 17 districts and 37 potential actions. While our team at Nurx does not offer Liletta, knowing that this type of birth control is an option can help you make the best decision possible for your reproductive health. Important Risk Information Do not use LILETTA if you: Are or might be pregnant; LILETTA cannot be used as an emergency contraceptive Curtis Weyant has more than 20 years as a writer, editor, and communicator, publishing on a wide variety of topics, especially in the financial, legal, and medical fields. Opinion & Order, United States District Court Southern District of New York, MDL No. If you have symptoms of these side effects, contact your healthcare provider immediately. Medicines360 and its design are registered trademarks of Medicines360. IUD perforation of the uterus is uncommon, occurring in 0.1% of low-risk patients. Case No. Mirena lawsuits accuse Bayer Pharmaceuticals of hiding side effects and making a defective intrauterine device (IUD). Most of the time, these will go away after the first few weeks but some can last for months. I do NOT recommend this IUD to anyone! August 14, 2018. The insertion was probably a 5/10 pain, just a sharp pinch like getting a pap smear or vaccine. SIDE EFFECTS: Overally, cramps are the main side effect I have from my IUD. may require surgery. It's wrapped in a tiny bit of copper, and it protects you from pregnancy for up to 12 years. Once she took it out my pain went away. I had Liletta inserted in March 2020--while I could take BC pills every day, they were annoying and led to anxiety over whether I had remembered them. The best IUD for each person depends on many factors. Insertion was uncomfortable but tolerable. Alder JB, Fraunfelder FT, Edwards R. Levonorgestrel Implants and Intracranial Hypertension. But, there are still some cases pending. The Mirena must be implanted and removed by a doctor though surgery is not required unless there are problems. i had previously had paragaurd (copper iud) no hormones. Do Not Sell My Info. My doctor shot me with lidocaine for pain and it was a breeze. If you get pregnant while using LILETTA, (2018, August 31). I'd get bad cramps and heavy bleeding on my periods. Retrieved from, U.S. There are two types of IUD: hormonal and copper (non-hormonal). I'm currently on year 3 and getting it taken out tomorrow. Would not recommend. You have a higher chance of getting PID or endometritis Notice to the Bar; Mass Torts Application for Centralized Management (Multicounty Litigation) of New Jersey State-Court Litigation Involving Mirena Contraceptive Device. Liletta does not contain estrogen. So the only remaining cases are Mirena breast cancer lawsuits. During the procedure the most painful part was the clamp but the whole process is actually 30 seconds. Ron even fought to reduce how much I owed in medical bills so I could get an even larger settlement. Offers FREE consultation! or damage to other organs. Both my ob and I decided this would be better and it last for 6 yrs. Website. Our Firm Brochure Video Vault FAQS Recently In The News My periods became so light i almost didnt have them and sometimes even didnt! Melody Williams began experiencing severe pain and abdominal cramping. Hormonal IUD (Liletta, Mirena). This type of pregnancy can cause life-threatening complications like bleeding and fallopian tube rupture. 1996-2023 Everyday Health, Inc., a Ziff Davis company. In June 2013, the JPML consolidated many Mirena IUD lawsuits into an MDL in the Southern District of New York. i had a baby after paragurd, and my docter recommended liletta. Absolutely. 2023 AbbVie and Medicines360. Only one, Paragard, is of the nonhormonal type. Mirena is also used to treat heavy menstrual bleeding in women who choose to use an intrauterine form of birth control. Submitting a contact form, sending a text message, making a phone call, or leaving a voicemail does not create an attorney-client relationship. Adjustments may also be made based on the severity of each individual's case. After I stopped the combination pill once my IUD follow up appointment occurred I did experience some hair loss. I did not notice any substaintial weight gain. ), Designed, produced, and knowingly sold a defective product, Failed to research and warn the public about dangerous side effects, Engaged in false and misleading marketing, Misrepresented the benefits of the device, Failed to issue a recall once the information came to light about the complications, Perforation of the uterus or another organ, Intense cranial pressure or headaches - idiopathic intracranial hypertension (ITC) or pseudotumor cerebri (PTC), Ectopic pregnancies or other pregnancy complications. 5-star reviewed medical and legal information site. Surgeons attempted a second procedure and found the IUD had migrated through her fallopian tube. Retrieved from, United States District Court District of New Jersey Newark Division. We will continue to honor any Allergan-provided privacy notices for personal information previously collected, used, and maintained by Allergan. LILETTA AccessConnectSM and its design are service marks of Odyssea Pharma SPRL, an AbbVie company. After about a week the pain went away. I got my IUD put in at the end of June 2020 at the suggestion of my doctor. The insertion wasnt even that bad, sure the cramps after sucked but it was nothing I hadnt experienced before. like i miss paraguard. They were combined into a type of class action known as a mass tort. The cases shared common discovery, which is an efficient way to conduct cases where there are many injuries arising from the same defective medical device. Why Women Are Filing Mirena Lawsuits I should of just had my tubes removed after baby #3. 1 South Orange Ave, Suite 201, Orlando, FL 32801. Levonorgestrel is the progestin-based hormone used in Mirena. 2434. Case No. I am so grateful that I was lucky to pick Miller & Zois. Didn't hurt much getting it inserted, but my doctor said the cervix is much softer for women who recently had a baby. LILETTA is a sterile, levonorgestrel-releasing intrauterine system indicated for prevention of pregnancy for up to 8 years. Bayer. Previously I had Mirena and had no side effects on that. The total settlement amount was $12.2 million. The drug information above is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. Having a family member with major depression and anxiety, I was looking for information on her medications. prevent pregnancy for as long as you want for up to 8years. Wow was I wrong. Bayer HealthCare Pharmaceuticals. For additional information about LILETTA, call the Severe infection and premature labor or delivery can occur with pregnancies that continue with an IUS, Although uncommon, pregnancy while using LILETTA can be life-threatening and may result in loss of pregnancy or fertility, Bleeding and spotting may increase in the first 3 to 6 months and remain irregular. LILETTA is a hormone-releasing system placed in your uterus to prevent pregnancy for as long as you want for up to 6 years.

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