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Misconceptions about intrauterine devices (IUDs) persist among adolescents, hindering their use. Addressing these myths and insertion pain through education and procedural sedation can improve IUD acceptance for preventing adolescent pregnancy.

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Area of Science:

  • Reproductive Health
  • Adolescent Gynecology
  • Public Health

Background:

  • Adolescent pregnancy remains a global public health issue.
  • Intrauterine devices (IUDs) are recognized as safe and effective long-acting reversible contraception for adolescents.
  • Professional societies recommend IUDs as a first-line contraceptive method for this demographic.

Purpose of the Study:

  • To investigate current practices regarding IUD use in adolescents.
  • To identify barriers preventing IUD insertion among adolescents.
  • To understand provider perspectives on IUD utilization.

Main Methods:

  • A survey was distributed to members of the North American Society for Pediatric and Adolescent Gynecology.
  • The survey was disseminated twice via the society's listserv.
  • Responses were collected anonymously and analyzed using descriptive statistics.

Main Results:

  • Fifty-five respondents, primarily from North America, participated.
  • Adolescents most commonly seek IUDs for contraception (45%) and abnormal uterine bleeding (24%).
  • Providers identified misconceptions (25%) and insertion pain (24%) as primary barriers. Procedural sedation centers were seen as beneficial for wait times (33%) or already optimizing them (38%).

Conclusions:

  • Persistent misconceptions about IUDs require targeted educational interventions.
  • Improving adolescent attitudes towards IUDs is crucial for reducing pregnancy rates.
  • Addressing insertion pain, potentially through procedural sedation, can increase IUD acceptance and utilization.