Read MoreThis study describes the reasons for IUD self-removal as documented in internet forums by IUD users discussing self-removal.
Read MoreAmong participants, the intrauterine device (IUD) was viewed particularly unfavourably. Furthermore, LARC was shown to be only considered for use after dissatisfaction with shorter-term methods (usually the Pill) if at all. Overall, these findings suggest further education in dispelling myths and discomfort around LARC use, while simultaneously recognizing and respecting women’s decisions to not use LARC methods.
“No other contraceptive method has undergone so rapid and thorough a change of medical reputation as that experienced by intrauterine devices over the past few years.” These words from United States-based contraceptive researcher Christopher Tietze in 1966 also characterize the last 10 years in the United States.”
Read MoreRead MoreIUD self-removal is an option that some patients may be interested in. Addressing concerns about safety may make self-removal more appealing to some patients. Addressing physicians' concern about "hasty" removal may require additional training so that providers are better able to support patients' decision-making around contraceptive use. Implications: The option of self-removal could have a positive impact on reproductive autonomy and patient-decision making.
Read MoreBecause adolescents are at higher risk of sexually transmitted infections (STIs), obstetrician–gynecologists should continue to follow standard guidelines for STI screening. They should advise adolescents who choose LARC methods to use male or female condoms consistently (dual method use) to decrease the risk of STIs, including human immunodeficiency virus (HIV). Obstetrician–gynecologists should counsel all sexually active adolescents who do not seek pregnancy on the range of reversible contraceptive methods, including LARC, and should help make these contraceptives readily accessible to them.
Read MoreMost young women at risk of unintended pregnancy are not aware of IUD as emergency contraception and look to their providers for trusted information. Contraceptive education should explicitly address IUD as emergency contraception.
Read MoreWe aimed to characterize changes in out-of-pocket costs for IUD placement before and after mandated coverage of contraceptive services and to examine whether changes in these costs influence IUD use.
Read MoreWe encourage contraceptive counseling and removal protocols that directly address historical reproductive injustices and that honor patients' wishes.
