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Updated: Jun 22, 2026
05:46
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Expanding access to intrauterine contraception
Rebecca H Allen1, Alisa B Goldberg, David A Grimes
1Department of Obstetrics and Gynecology, Women & Infants Hospital, Providence, RI, USA.
American Journal of Obstetrics and Gynecology
|June 17, 2009
Summary
Intrauterine devices (IUDs) are safe and effective reversible contraception. Removing unnecessary barriers can expand access, reducing unintended pregnancies in the United States.
Area of Science:
- Reproductive Health
- Contraception Research
Background:
- Intrauterine devices (IUDs) are a safe, highly effective, long-lasting, and reversible method of contraception.
- Expanding access to IUDs is crucial for reducing unintended pregnancies in the U.S.
Purpose of the Study:
- To advocate for broader clinical consideration of IUDs in diverse patient populations.
- To identify and challenge unnecessary barriers to IUD insertion.
Main Methods:
- Review of current clinical guidelines and evidence regarding IUD use.
- Analysis of common practices that may impede access to IUDs.
Main Results:
- IUDs are appropriate for nulliparous, adolescent, postpartum, postabortal, and emergency contraception candidates.
- Routine cervical cancer screening, gonorrhea/chlamydial testing in low-risk women, and menses-only insertion are unnecessary barriers.
Conclusions:
- Clinicians should offer IUDs to a wider range of appropriate candidates.
- Eliminating unnecessary requirements will improve access to long-acting reversible contraception and reduce unintended pregnancies.
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