INTRAUTERINE DEVICES IUDS Dispelling the myths Learning Objectives
INTRAUTERINE DEVICES (IUDS) Dispelling the myths
Learning Objectives • Participants will be able to: – Understand the indications and contraindications to IUD use – Describe the pros and cons of hormonal vs nonhormonal IUD use – Explain the role of higher efficacy, non-user dependent, contraceptive methods like the IUD in the prevention of unintended pregnancy
Contraceptive use in the United States • 61 million women of childbearing age in the U. S. • 43 million (70%) of them are sexually active and do not want to become pregnant. • About 62% of all women of reproductive age are currently using contraception • Couples who don’t use contraception have ~85% chance of experiencing pregnancy over the course of a year
Unintended Pregnancy (n = 2. 8 million) • Contraception use and unintended pregnancy proportions: – Perfect use: 5% – Inconsistent or incorrect use: 41% – No contraception or gaps > 1 month: 54% • 42% of unintended pregnancies end in abortion
Pill F Sterilization M Condoms IUD M Sterilization Withdrawal Injectable Vaginal Ring Fertility Awareness Implant Patch EC Other None Contraceptive Methods in the U. S. 25. 00% 20. 00% % of women at risk of unintended pregnancy* 15. 00% 10. 00% 5. 00% 0. 00%
Case: Shani • 21 year old G 2 P 2 • Postpartum 4 weeks • Asking about tubal sterilization
Sterilization by Education • • If graduated college, 13% had BTL If some college, 29% had BTL If graduated HS, 42% had BTL If no HS graduation, 55% had BTL
Young Women and Sterilization • 20% of women selecting sterilization at age 30 years or younger later express regret
- Slides: 9