A survey of New Zealand RANZCOG Fellows on their use of the levonorgestrel intrauterine device in adolescents.
BACKGROUND
The levonorgestrel intrauterine device (LNG-IUD) is an established treatment for adult women. Although it is being used in adolescents, there is little published research in this age group to date. Recent reviews and editorials have challenged the long-held views that intrauterine devices should not be used in young women.


OBJECTIVE
This study aimed to identify the patterns of use, including indications and contraindications of the LNG-IUD in adolescents by RANZCOG Fellows practising in New Zealand.


METHODS
A postal survey of New Zealand RANZCOG Fellows on their use of the LNG-IUD in females aged 10-19 years.


RESULTS
There was a 72% response rate. Half of the respondents had inserted the LNG-IUD in adolescents. Non-inserters identified a significantly greater number of contraindications than inserters (chi2, P < 0.0001). Over half of those respondents who had inserted a device in an adolescent did so fewer than three times per year. Intellectual disability and endometriosis, both unlicensed indications, were the two most commonly identified circumstances for insertion by respondents.


CONCLUSIONS
Patterns of insertion of the LNG-IUD in adolescents by RANZCOG Fellows in New Zealand differ and there was equipoise over its use. Further research is required to establish the efficacy, safety and acceptability of the LNG-IUD in adolescents.
Paterson
Helen
H
Department of Women's and Children's Health, University of Otago, Dunedin, New Zealand. l_h_paterson@hotmail.com
Miller
Dawn
D
Devenish
Celia
C
D000293:Adolescent; D000328:Adult; D002648:Child; D003271:Contraceptive Agents, Female / Q000627:therapeutic use*; D003625:Data Collection; D005260:Female; D006801:Humans; D007436:Intrauterine Devices, Medicated / Q000706:statistics & numerical data*; D016912:Levonorgestrel / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D010818:Practice Patterns, Physicians'; D055815:Young Adult
D003271:Contraceptive Agents, Female; D016912:Levonorgestrel