title: Intrauterine devices and pelvic inflammatory disease among adolescents.
abstract: Adolescents may be ideal candidates for intrauterine device (IUD) use, given high rates of unintended pregnancy and less successful use of short-acting contraceptive methods. Concerns about elevated risks of pelvic inflammatory disease in adolescents, with the consequences of infertility, ectopic pregnancy, and pelvic pain, prevent many clinicians from inserting IUDs in adolescents. The body of evidence examining risks of pelvic infection related to IUD use specifically in adolescents is limited, but is reassuring that the absolute risk of pelvic infection is small and that the benefits of IUD use likely outweigh the risks.
authors.affiliation: Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131, USA.
authors.forename: Shannon
authors.initials: S
authors.lastname: Carr
authors.forename: Eve
authors.initials: E
authors.lastname: Espey
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects*; D000292:Pelvic Inflammatory Disease / Q000209:etiology*; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000517:prevention & control; D018570:Risk Assessment