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.
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.
