title: Factors associated with contraceptive satisfaction in adolescent women using the IUD.
abstract: OBJECTIVE
  To estimate satisfaction and to identify factors contributing to an adolescent woman's satisfaction with the levonorgestrel-containing or copper intrauterine device (IUD).
  
  
  METHODS
  Adolescent women presenting to an urban clinic within 1 month of IUD insertion completed survey questionnaires about prior use of contraception, gynecologic/obstetric history, and a pain scale. Participants were contacted at 3 and 6 months post-insertion to complete surveys regarding satisfaction with the IUD, their menstrual bleeding patterns, and pain and cramping due to the IUD. Chi-square test, Fisher exact test, and logistic regression were used for analysis.
  
  
  METHODS
  Mount Sinai Adolescent Health Center in New York City.
  
  
  METHODS
  Seventy-nine adolescent women aged 15-24 y.
  
  
  METHODS
  None.
  
  
  METHODS
  Satisfaction was measured at 3 and 6 months post-IUD insertion as a 10-point Likert item.
  
  
  RESULTS
  82% and 76% percent of participants were available for follow-up at 3 and 6 months, respectively. Satisfaction with the IUD was high overall with 75.4% (49/65) of participants choosing a satisfaction rating of eight or higher on the 10-point scale at 3 months and 76.7 % (46/60) at 6 months. Prior history of pregnancy and selecting the levonorgestrel containing IUD were predictive of higher satisfaction at 3 months, but not at 6 months. Parity and prior use of contraceptive methods were not predictive of satisfaction.
  
  
  CONCLUSIONS
  The finding of high satisfaction across participants supports the current recommendation for the IUD as a first-line contraceptive for adolescents. Nulliparous young women and those who are naïve to contraception should be considered as candidates for the IUD.
authors.affiliation: Oakland University William Beaumont School of Medicine, Hough Center for Adolescent Health, Beverly Hills, MI. Electronic address: joy.friedman@beaumont.edu.
authors.forename: Joy O
authors.initials: JO
authors.lastname: Friedman
mesh_terms: D000293:Adolescent; D016009:Chi-Square Distribution; D003267:Contraception / Q000379:methods / Q000523:psychology*; D003271:Contraceptive Agents, Female / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007436:Intrauterine Devices, Medicated; D016912:Levonorgestrel / Q000008:administration & dosage; D016015:Logistic Models; D008598:Menstruation; D009519:New York City; D010298:Parity; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011247:Pregnancy; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D003271:Contraceptive Agents, Female; D016912:Levonorgestrel
keywords: Adolescent; Contraception; IUD; IUS; Intrauterine device; Satisfaction