title: [Intra-uterine device and nulliparous women].
abstract: Intra-uterine device (IUD) is one of the birth control methods, which is available for nulliparous women, even though misconceptions still remain in medical or popular opinion. Only 1.3 % of nulliparous have a IUD as contraception in France while it is the second methods used by all women, after pill. The best contraception is the one chosen by women; however, the choice for a nulliparous of an IUD may be really difficult, despite the increasing number of women wishing to use it. Long-acting reversible contraceptives utilization, including IUD, is probably one of the issues to decrease the unintended pregnancies. An exhaustive and clear information about IUD is necessary to allow an informed and real choice. This prescription must consider contraindications and medical conditions for safe insertion, especially to avoid infection by screening STD (Chlamydia trachomatis and Nesseria gonorrhoeae) in nulliparous women<25 years old. Insertion must be effected with usual precautions and short or SL IUD preferred. Even if side effects such as expulsion, pelvic pains or dysmenorrhea are more frequent by nulliparous, IUD is a first intention choice for contraception to be consider, that women could obtain easily, including in emergency contraception situation.
authors.affiliation: Centre d'orthogénie, CHRU de Tours, boulevard Tonnellé, 37044 Tours cedex, France. Electronic address: n.trignol@chu-tours.fr.
authors.forename: N
authors.initials: N
authors.lastname: Trignol-Viguier
authors.affiliation: Centre d'orthogénie, CHRU de Tours, boulevard Tonnellé, 37044 Tours cedex, France.
authors.forename: E
authors.initials: E
authors.lastname: Blin
authors.affiliation: Service de gynécologie, CHRU de Tours, boulevard Tonnellé, 37044 Tours cedex, France.
authors.forename: H
authors.initials: H
authors.lastname: Marret
mesh_terms: D002690:Chlamydia Infections / Q000517:prevention & control; D002692:Chlamydia trachomatis; D002755:Choice Behavior; D003268:Contraception Behavior; D003276:Contraceptives, Oral; D000075202:Contraindications; D005260:Female; D005602:France; D006069:Gonorrhea / Q000517:prevention & control; D006801:Humans; D007433:Intrauterine Device Expulsion; D007434:Intrauterine Devices / Q000009:adverse effects / Q000706:statistics & numerical data; D009344:Neisseria gonorrhoeae; D010298:Parity; D010353:Patient Education as Topic; D011247:Pregnancy; D055815:Young Adult
chemical_list: D003276:Contraceptives, Oral
keywords: Adolescent; Adolescente; Choice; Choix; Contraception; Dispositif intra-utérin; Infection sexuellement transmissible; Intra-uterine device; Nullipare; Nulliparous women; Sexuality; Sexualité; Sexually-transmitted infection