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The intrauterine contraceptive device.
1Department of Obstetrics and Gynecology, University of California Los Angeles School of Medicine, USA. AnitaNelsonWHC@earthlink.net
Obstetrics and Gynecology Clinics of North America
|November 25, 2000
Summary
Intrauterine devices (IUDs) are gaining popularity in the US due to their convenience and effectiveness. Lessons from past IUDs and legislative support are paving the way for wider adoption of modern IUDs.
Area of Science:
- Reproductive Health
- Medical Device Technology
- Public Health Policy
Background:
- The increasing interest in intrauterine devices (IUDs) in the United States is driven by their perceived convenience and effectiveness.
- Historical context, particularly the Dalkon Shield experience, highlights the importance of appropriate candidate selection to mitigate liability.
- The copper IUD has a low incidence of lawsuits, indicating improved safety and risk management.
Observation:
- The copper IUD has faced only one lawsuit in its 12 years of availability in the US.
- Legislative efforts mandating insurance coverage for IUDs and other prescription contraceptives are expanding.
- New IUDs with varied side-effect profiles are being introduced.
Findings:
- The unique lessons learned from the Dalkon Shield experience are crucial for reducing liability concerns associated with IUDs.
- The low litigation rate for copper IUDs suggests a favorable safety profile.
- Anticipated legislative support for insurance coverage is expected to boost IUD usage.
Implications:
- Continued legislative action supporting insurance coverage will likely accelerate the growth of IUD use.
- The introduction of novel IUDs with diverse side-effect profiles will broaden the appeal and accessibility of IUDs to a larger population of US women.
- Improved understanding and application of candidate selection criteria can further enhance the safety and acceptance of IUDs.