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Not all IUDs fit in young nulliparous and adolescent women
  1. Dirk Wildemeersch, MD, PhD
  1. Reproductive Health Consultant, Gynaecological Outpatient Clinic and IUD Training Centre, Ghent, Belgium; d.wildemeersch@skynet.be

https://doi.org/10.1136/jfprhc-2013-100777

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    Long-acting reversible contraceptive methods (LARC) are considered important to reduce the number of unintended pregnancies. Winner et al.1 found that women using oral contraceptives, a transdermal patch or a vaginal ring had a risk of contraceptive failure that was 20 times as high as the risk among those using LARC [intrauterine devices (IUDs), implants]. In the CHOICE cohort study of acceptance of LARC by young women, most subjects (∼70%) aged 18 years and older selected intrauterine contraception.2

    However, many young women experience problems with IUD …

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    Footnotes

    • Competing interests The author is a reproductive health consultant on intrauterine devices and systems and has been involved in the optimisation of new drug delivery systems for use in the uterus.