Not all IUDs fit in young nulliparous and adolescent women

Long-acting reversible contraceptive methods (LARC) are considered important to reduce the number of unintended pregnancies. Winner et al .1 found that women using oral contraceptives, a transdermal patch or a vaginal ring had a risk of contraceptive failure that was 20 times as high as the risk among those using LARC [intrauterine devices (IUDs), implants]. In the CHOICE cohort study of acceptance of LARC by young women, most subjects (∼70%) aged 18 years and older selected intrauterine contraception.2 However, many young women experience problems with IUD …