title: Use of intrauterine devices in nulliparous women.
abstract: Five intrauterine devices (IUDs) are available in the United States: four levonorgestrel-releasing intrauterine systems (two containing 52 mg, one containing 19.5 mg and one containing 13.5 mg) and one copper-bearing device (Copper T 380A). All IUDs have very low typical-use failure rates and high acceptability ratings, yet they are used by a minority of women, with nulliparous women less likely to do so than parous women. The objective of this clinical review is to give evidence-based recommendations for the use of IUDs in nulliparous women. Intrauterine devices are safe and effective for the majority of women including those who are nulliparous, and should be routinely included in the contraception options offered to them.
authors: British Pregnancy Advisory Service, 20 Timothy's Bridge Road, Stratford Enterprise Park, Stratford on Avon, Warwickshire, CV37 9BF. Electronic address: patricia.lohr@bpas.org.
authors: Patricia A
authors: PA
authors: Lohr
authors: Homerton University Hospital, London. Electronic address: richlyus@gmail.com.
authors: Richard
authors: R
authors: Lyus
authors: University of Washington. Electronic address: pragers@uw.edu.
authors: Sarah
authors: S
authors: Prager
mesh_terms: D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000379:methods*; D003271:Contraceptive Agents, Female; D004868:Equipment Failure; D005260:Female; D005298:Fertility; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects; D007435:Intrauterine Devices, Copper / Q000009:adverse effects; D007436:Intrauterine Devices, Medicated / Q000009:adverse effects; D016912:Levonorgestrel / Q000008:administration & dosage / Q000009:adverse effects; D010298:Parity; D017060:Patient Satisfaction; D011247:Pregnancy; D012307:Risk Factors; D014481:United States; D055815:Young Adult
chemical_list: D003271:Contraceptive Agents, Female; D016912:Levonorgestrel
keywords: IUD; IUS; Intrauterine contraception; Intrauterine device; Intrauterine system; Nulliparous