Contraception: IUD use in nulliparous and adolescent women

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August 2010 · Vol. 22, No. 08

UPDATE: CONTRACEPTION

Demand for long-acting reversible contraception is growing, including in adolescents and nulliparas. We need to challenge our historical reservations about the IUD and heed the call.

IN THIS ARTICLE

Barriers to IUD use
Medical eligibility criteria for using an IUD
What ACOG recommends

Jennefer A. Russo, MD

Dr. Russo is a Clinical Fellow in Family Planning, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pa.

Mitchell D. Creinin, MD

Dr. Creinin is the Director of Gynecologic Specialties and Director of Family Planning, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pa.

Fast Track

Women in the United States use the most effective forms of birth control at lower rates than the rest of the developed world

Antibiotic prophylaxis is unnecessary for IUD insertion because cases of PID after IUD insertion occur infrequently, with or without an antibiotic

ACOG recommends that IUDs and implants be considered as first-line contraceptive choices for both nulliparas and adolescents

Counsel the patient about the need to use a condom in addition to the IUD to prevent STI

Dr. Russo reports no financial relationships relevant to this article. Dr Creinin is a senior clinical advisor for Medicines360.

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