Retrospective review of intrauterine device in adolescent and young women

Journal of Pediatric and Adolescent Gynecology
Tia M AltonMeredith B Loveless

Abstract

To examine our experience with intrauterine device (IUD) use in adolescents and young women. Retrospective descriptive study evaluating outcomes after IUD insertion for patients 21 years or less over an 8-year period. Three sites including a Pediatric and Adolescent gynecology private practice, a Title X clinic, and community based, grant funded clinic serving a high risk teen population. Females from menarche to age 21. The probability of IUD retention, differences in IUD retention probabilities between two age groups, and risk factors for IUD removal, expulsion, and infection were evaluated. 233 records showed 50% of the <18-year-old age group and 71.5% of the 18-21-year-old group had their IUD in place at 5 years. Age was found to be a significant factor for removal (P < 0.001), with under 18-year-olds at greater risk of removal/expulsion (hazard ratio (HR) = 2.85). Parity (RR = 5.6 for nulliparous vs multiparous patients, P < 0.001) and prior STI (RR = 5.5, P < 0.001) were significant risk factors for infection. Nulliparous patients were at higher risk of expulsion (P = 0.045), though age was not a statistically significant risk factor. The rate of continuation was lower in adolescents under 18 compared to 18-21-year-olds, ...Continue Reading

References

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Citations

Jun 19, 2013·The Journal of Family Planning and Reproductive Health Care·Windy Mary Brown, Konia Trouton
Aug 16, 2014·Primary Care·Jessica DalbyJensena Carlson
Jun 15, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Yolanda A KirkhamMelanie P Ornstein
Oct 17, 2013·Pharmacotherapy·Gina M Prescott, Christina M Matthews
Nov 5, 2016·Contraception·Tara C JatlaouiKathryn M Curtis
Jan 1, 2017·American Journal of Obstetrics and Gynecology·Justin T DiedrichJeffrey F Peipert
Oct 17, 2018·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Gustavo WandresenRenato Nisihara
Nov 2, 2018·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Therese ForanVivienne O'Connor
Sep 9, 2015·Obstetrics and Gynecology·Margaret AbrahamJeffrey F Peipert
Oct 10, 2013·Obstetrics and Gynecology·Micaela Oʼneil-CallahanGina Secura
Nov 4, 2020·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Daniela FarahMarcelo Cunio Machado Fonseca
Jul 11, 2020·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Beth I SchwartzLesley L Breech
Oct 6, 2019·Journal of Pediatric and Adolescent Gynecology·Dan Apter
Jan 7, 2021·Contraception and Reproductive Medicine·Aanchal SharmaApril Lee
Mar 16, 2021·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Hannat AkintomideJill Shawe

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