title: A clinical guideline for intrauterine device use in adolescents.
abstract: OBJECTIVE
  To present an evidence-based review of the data for and against the use of the intrauterine device (IUD) in adolescent females and to provide guidelines for selection of appropriate candidates.
  
  
  METHODS
  Clinical research, expert opinions, and systematic reviews of IUD use in adolescents.
  
  
  CONCLUSIONS
  The use of the IUD in adolescents has been questioned in the past as a result of concerns surrounding increased risks for pelvic inflammatory disease and infertility in adolescents. Current research reveals no contraindications to IUD use based solely on age or parity and illuminates many benefits to use, including a decrease in menorrhagia and dysmenorrhea.
  
  
  CONCLUSIONS
  The U.S. adolescent pregnancy rates rose from 2005 to 2007, reversing a decade-long downward trend. Adolescents need safe, effective, user-friendly contraceptive methods. IUDs are a safe and effective option for adolescents and provide an additional contraceptive option for nurse practitioners to offer their patients to prevent unintended pregnancy and enhance adolescent sexual health and well-being. Proper selection of candidates for IUD use can mitigate clinical and legal risks associated with IUD use.
authors: U.S. Public Health Service Commissioned Corps, USA. ellendunbarsmith@gmail.com
authors: Ellen
authors: E
authors: Smith
authors: Alison Moriarty
authors: AM
authors: Daley
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D003268:Contraception Behavior; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D013997:Time Factors; D014481:United States