Revisiting the intrauterine contraceptive device in adolescents

Journal of Pediatric and Adolescent Gynecology
Alina Toma, Mary Anne Jamieson

Abstract

The purpose of this study was to report on our experience with the intrauterine contraceptive device (IUCD) in a group of properly counseled adolescents and to determine whether traditional hesitation with use in this population should be reconsidered. Patients who had an IUCD inserted between April 1999 and March 2003 were identified using medical records and chart review. A single Canadian University teaching hospital supervised by a single gynecologist. Twenty-eight patients, 21 years of age and under, were identified. Twenty agreed to participate in the study. Patients were contacted by mail to inform them of the study and subsequently interviewed using a 10-minute structured phone interview that contained seven primary questions with additional follow-up questions. Duration of use, reasons for removal, side effects experienced, satisfaction with use, prior contraception. The average age at insertion was 18.7 years, the average time of use was 19.6 months and the average number of pregnancies prior to insertion was 1.4. Seven patients (35%) had discontinued use of their IUCD prior to the interview, with an average of 13.4 months between the time of insertion and removal. The most common reason for removal was increased blee...Continue Reading

References

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Citations

Dec 10, 2013·Journal of Pediatric and Adolescent Gynecology·Ingrid SavasiSonia R Grover
Jun 15, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Yolanda A KirkhamMelanie P Ornstein
Jan 10, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Margot K BrownChristine Dehlendorf
Aug 30, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Salah M Rasheed, Allam M Abdelmonem
Apr 2, 2011·Journal of Pediatric and Adolescent Gynecology·Gina S SucatoMelanie A Gold
Jan 26, 2011·Journal of Pediatric and Adolescent Gynecology·Eduardo Lara-TorrePatrice M Weiss
Sep 28, 2010·Journal of Pediatric and Adolescent Gynecology·Loral Patchen, Erica K Berggren
Aug 25, 2007·Current Problems in Pediatric and Adolescent Health Care·Erica MonasterioMary-Ann Shafer
May 13, 2009·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Helen PatersonCelia Devenish
Aug 1, 2012·Journal of the American Academy of Nurse Practitioners·Ellen Smith, Alison Moriarty Daley
Jun 17, 2009·American Journal of Obstetrics and Gynecology·Rebecca H AllenDavid A Grimes
May 23, 2016·Thrombosis Research·Ayesha Zia, Madhvi Rajpurkar

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