Intra-uterine device and nulliparous women

Gynécologie, obstétrique & fertilité
N Trignol-ViguierH Marret

Abstract

Intra-uterine device (IUD) is one of the birth control methods, which is available for nulliparous women, even though misconceptions still remain in medical or popular opinion. Only 1.3 % of nulliparous have a IUD as contraception in France while it is the second methods used by all women, after pill. The best contraception is the one chosen by women; however, the choice for a nulliparous of an IUD may be really difficult, despite the increasing number of women wishing to use it. Long-acting reversible contraceptives utilization, including IUD, is probably one of the issues to decrease the unintended pregnancies. An exhaustive and clear information about IUD is necessary to allow an informed and real choice. This prescription must consider contraindications and medical conditions for safe insertion, especially to avoid infection by screening STD (Chlamydia trachomatis and Nesseria gonorrhoeae) in nulliparous women<25 years old. Insertion must be effected with usual precautions and short or SL IUD preferred. Even if side effects such as expulsion, pelvic pains or dysmenorrhea are more frequent by nulliparous, IUD is a first intention choice for contraception to be consider, that women could obtain easily, including in emergency ...Continue Reading

References

Nov 1, 2006·American Journal of Obstetrics and Gynecology·David HubacherHoracio Croxatto
Nov 6, 2012·Journal de gynécologie, obstétrique et biologie de la reproduction·O Graesslin
Jan 5, 2013·Journal of Pediatric and Adolescent Gynecology·Megan L KavanaughKathleen Ethier
May 3, 2013·Obstetrics and Gynecology·Abbey B BerensonGregg S Wilkinson
Oct 10, 2013·Obstetrics and Gynecology·Micaela Oʼneil-CallahanGina Secura

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Citations

Feb 1, 2015·Gynécologie, obstétrique & fertilité·C GuicheteauV Lavoué
Jun 15, 2019·Gynécologie, Obstétrique, Fertilité & Sénologie·A L'HeudéJ Delotte

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