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Levonorgestrel is a hormonal medication which is used in a number of birth control methods. Common side effects include nausea, breast tenderness, headaches, and increased, decreased, or irregular menstrual bleeding. Levonorgestrel was patented in and introduced for medical use together with ethinylestradiol in Levonorgestrel is the active ingredient in a number of intrauterine devices including Mirena and Skyla. One IUD, the Mirena is a small hollow cylinder containing levonorgestral and polydimethylsiloxane and covered with a release rate controlling membrane. Levonorgestrel is used in emergency contraceptive pills ECPs, both in a combined Yuzpe regimen which includes estrogen, and as a levonorgestrel-only method. The levonorgestrel-only method uses levonorgestrel 1. The primary mechanism of action of levonorgestrel as a progestogen-only emergency contraceptive pill is, according to International Federation of Gynecology and Obstetrics FIGO, to prevent fertilization by inhibition of ovulation and thickening of cervical mucus. Other studies still find the evidence to be unclear. In November, the EMA also approved a change to the label for HRA Pharma's NorLevo saying: In clinical trials, contraceptive efficacy was reduced in women weighing 75 kg or more, and levonorgestrel was not effective in women who weighed more than 80 kg.
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