Product image of Levosert Shi (Levonorgestrel) supplied by GNH India

Levosert Shi

Active Ingredient:
Levonorgestrel
Origin:
EU

Levosert Shi (Levonorgestrel)

Levonorgestrel, the active ingredient in Levosert Shi, is a progestin presented as an intrauterine system for intrauterine use. The device releases levonorgestrel locally over up to three years, providing long‑acting reversible contraception for women of reproductive age.

GNH India supplies Levosert Shi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with capabilities for regulated distribution and quality‑assured logistics. The company adheres to global regulatory standards and provides support for import documentation and cold‑chain management where required.

Manufacturer / TM Owner

Gedeon Richter Plc.

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Indications & Clinical Uses

  • Levosert Shi, a levonorgestrel intrauterine system, is used within the hormonal contraceptive pathway to prevent pregnancy.
  • Contraception (Long‑acting reversible contraceptive): Provides highly effective pregnancy prevention for up to three years after insertion.
  • Management of heavy menstrual bleeding: Reduces menstrual blood loss and can improve anemia associated with heavy periods.

How It Works

  • Levonorgestrel released from the intrauterine system binds to progesterone receptors in the endometrium, cervical mucus, and hypothalamic‑pituitary axis. This suppresses ovulation, induces a thickened cervical mucus barrier, and creates endometrial changes that are unfavorable for implantation, resulting in reliable contraception. The local high concentration of levonorgestrel minimizes systemic exposure while maintaining these effects throughout the device’s lifespan. This mechanism underlies its efficacy as a long‑acting reversible contraceptive.

Side Effects

Levosert Shi may be associated with a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Irregular vaginal bleeding or spotting
  • Pelvic or abdominal cramping
  • Breast tenderness

Serious or Rare Side Effects

  • Uterine perforation during insertion
  • Device expulsion or displacement
  • Pelvic inflammatory infection

Precautions & Warnings

  • Before using Levosert Shi, several precautions should be observed to ensure safety and effectiveness.
  • Pregnancy testing: Confirm patient is not pregnant before insertion.
  • Timing of insertion: Place device within the first five days of menstrual cycle to ensure no existing pregnancy.
  • Uterine evaluation: Assess for fibroids, congenital anomalies, or active infection prior to placement.
  • Infection risk: Treat any active pelvic infection before procedure.
  • Follow‑up examination: Schedule a check-up 4–6 weeks after insertion to verify correct positioning.
  • Store at below 25°C: Keep in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Levosert Shi can interact with other medicines that affect hormone metabolism or efficacy.

Major Interactions (Avoid)

  • Enzyme inducers (e.g., rifampin, carbamazepine, phenytoin, St. John’s wort) that lower levonorgestrel levels.
  • Antiepileptic drugs that increase hepatic metabolism of levonorgestrel.

Moderate Interactions (Monitor Closely)

  • Certain antifungal agents (ketoconazole) that may increase levonorgestrel exposure.
  • HIV protease inhibitors (ritonavir) that can alter hormone levels.
  • Antibiotics such as tetracycline that may affect contraceptive efficacy.

Frequently Asked Questions

Levosert Shi is a levonorgestrel-releasing intrauterine system indicated for long‑acting reversible contraception. It provides highly effective pregnancy prevention for up to three years and is also approved for the management of heavy menstrual bleeding.

Levonorgestrel released from the intrauterine device binds to progesterone receptors in the endometrium, cervical mucus, and the hypothalamic‑pituitary axis. This suppresses ovulation, thickens cervical mucus, and creates endometrial changes that prevent implantation, thereby achieving contraception.

Levosert Shi is supplied as a pre‑loaded intrauterine system. The prescribing clinician determines the appropriate device based on the patient’s needs; the system continuously releases a low dose of levonorgestrel over its approved duration without the need for daily dosing.

Levosert Shi must not be inserted in a woman who is already pregnant, and it is contraindicated for use during pregnancy. For breastfeeding women, the device is generally considered compatible because systemic hormone levels are low, but clinicians should evaluate each case individually.

To order Levosert Shi, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Levosert Shi uses levonorgestrel, similar to other hormonal IUDs such as Mirena or Kyleena. Its release rate and approved duration (up to three years) are comparable, but specific dosing and size may differ, offering clinicians flexibility based on patient anatomy and contraceptive preferences.

Levosert Shi should be stored at temperatures below 25 °C, in its original packaging, protected from moisture and direct sunlight. The device must be handled only by trained healthcare professionals during insertion and removal to maintain sterility and device integrity.

Levosert Shi is inserted by a qualified healthcare provider into the uterine cavity using a specialized inserter. The procedure is performed in a clinical setting, typically within the first five days of the menstrual cycle, and requires a brief pelvic examination and ultrasound confirmation of placement.

Serious risks, though rare, include uterine perforation during insertion, device expulsion or displacement, and pelvic inflammatory infection. Prompt recognition and management of these events are essential to maintain contraceptive efficacy and patient safety.

Levosert Shi is contraindicated in women who are pregnant, have active pelvic infection, unexplained vaginal bleeding, known or suspected uterine anomalies, or a history of uterine perforation. It should also be avoided in patients with hypersensitivity to levonorgestrel or any component of the device.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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