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Published on: October 9, 2018
Intrauterine devices and adolescents
Melanie A Gold1, Lisa M Johnson
1Division of Adolescent Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, PA 15213, USA. magold@pitt.edu
Current Opinion in Obstetrics & Gynecology
|September 18, 2008
Summary
Intrauterine devices (IUDs) are safe and effective long-term contraceptives. They are underutilized by adolescents, despite offering significant benefits for preventing unintended pregnancies and managing menstrual disorders.
Area of Science:
- Reproductive Health
- Adolescent Medicine
- Contraception
Background:
- Intrauterine devices (IUDs) are highly effective long-acting reversible contraceptives.
- Adolescents are disproportionately affected by unintended pregnancies.
- IUDs are underutilized in the adolescent population in the United States.
Purpose of the Study:
- To review current information on intrauterine devices (IUDs) for adolescent use.
- To highlight the benefits and safety of IUDs in adolescents.
- To address knowledge gaps and attitudes towards IUDs in this demographic.
Main Methods:
- Literature review of studies on IUDs and adolescents.
- Analysis of IUD mechanisms (copper and levonorgestrel-releasing).
- Examination of safety, side effects, and non-contraceptive benefits.
Main Results:
- Few studies exist on IUD use in adolescents.
- IUDs demonstrate safety and efficacy, with no increased risk of PID, tubal infertility, or ectopic pregnancy.
- Levonorgestrel-releasing IUDs (LNG IUS) offer non-contraceptive benefits like reduced menstrual bleeding and pain.
Conclusions:
- IUDs should be considered a first-line contraceptive choice for adolescents.
- LNG IUS is particularly beneficial for adolescents due to its non-contraceptive advantages.
- Further research is needed to optimize IUD use among adolescents.
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