alexa Intrauterine contraception in adolescents and young women: a descriptive study of use, side effects, and compliance.


Journal of Womens Health Care

Author(s): LaraTorre E, Spotswood L, Correia N, Weiss PM

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Abstract OBJECTIVE: Describe characteristics, compliance, efficacy, and side effect profile of adolescents and young women who use intrauterine contraception (IC). STUDY DESIGN: Retrospective chart review of adolescent and young women who had IC devices placed over a 3-year period. Comparative statistics between devices and population characteristics were performed using the Fisher exact and the t test. RESULTS: Eighty-nine patients were included in the study. The mean age at insertion was 19.5 years (range 16-22 years). Copper was used in 13\% of patients; levonorgestrel (LNG) was used in 87\%. The mean duration of use was 331.3 days (copper vs LNG; P = .2254). Side effects included infection (9\%, but no pelvic inflammatory disease), pain (28\%), partner felt strings (9\%), and bleeding (32\%). Reasons for removal included side effects (25\%), desired fertility (5\%), expulsion (3\%), and pregnancy (2\%). There were no pregnancies associated with the LNG IC, and there were fewer removals because of side effects than with the copper IUD (P = .0180). CONCLUSION: IC is a reliable method of contraception in teens and young adults. There were fewer removals because of side effects in the LNG group, although overall other variables are similar between methods. Copyright © 2011 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved. This article was published in J Pediatr Adolesc Gynecol and referenced in Journal of Womens Health Care

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