The November 2017 ACOG Practice bulletin, entitled Long-Acting Reversible Contraception: Implants and Intrauterine Devices, summarized data regarding the extended use of levonogestrel IUDs. The bulletin stated the following: “Current data support the efficacy of the LNG-20 beyond its approved duration of use. Extended-use studies are ongoing…”. The current FDA approval for duration of use of levonogetrel IUDs is 5 years for levonogestrel-20 (Mirena®), 4 years for levonogestrel-18.6 (Liletta®), 5 years for levonogestrel-19.5 (Kyleena®), and 3 years for levonogestrel-13.5 (Skyla®) and these recommendations should be followed until studies are complete and evidence clearly outlines efficacy for longer duration of use.