Revisiting the intrauterine contraceptive device in adolescents

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


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


Jan 1, 1981·Obstetrics and Gynecology·A J DaviesA C Turnbull
Nov 24, 1999·MCN. the American Journal of Maternal Child Nursing·K C Bloom, D S Hall
Aug 19, 2000·BMJ : British Medical Journal·B Donovan
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Dec 5, 2002·The Journal of Family Planning and Reproductive Health Care·J DennisM Kishen

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Dec 10, 2013·Journal of Pediatric and Adolescent Gynecology·Ingrid SavasiSonia R Grover
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