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g_CLEANED-University of Campinas, Brazil-endometriosis refers to a Phase 4 clinical trial (NCT02233413) comparing the efficacy of the levonorgestrel-releasing intrauterine system (LNG-IUS, brand name Mirena) and the etonogestrel-releasing subdermal implant (ENG, brand name Implanon) for the management of endometriosis-associated pelvic pain. Both systems are long-acting reversible contraceptives (LARCs) that function as hormonal therapies. The LNG-IUS is a T-shaped device inserted into the uterus that releases levonorgestrel locally, while the etonogestrel implant is a single-rod device placed subcutaneously in the arm. Both drugs act as progesterone receptor agonists, leading to endometrial suppression and atrophy, which alleviates symptoms such as dysmenorrhea and chronic pelvic pain in women with endometriosis.
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