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Yoost J. Understanding benefits and addressing misperceptions and barriers to intrauterine device access among populations in the United States. Patient Prefer Adherence. 2014;8:947-57doi: 10.2147/PPA.S45710.
Yoost, J. (2014). Understanding benefits and addressing misperceptions and barriers to intrauterine device access among populations in the United States. Patient preference and adherence, 8947-57. https://doi.org/10.2147/PPA.S45710
Yoost, Jennie. "Understanding benefits and addressing misperceptions and barriers to intrauterine device access among populations in the United States." Patient preference and adherence vol. 8 (2014): 947-57. doi: https://doi.org/10.2147/PPA.S45710
Yoost J. Understanding benefits and addressing misperceptions and barriers to intrauterine device access among populations in the United States. Patient Prefer Adherence. 2014 Jul 03;8:947-57. doi: 10.2147/PPA.S45710. eCollection 2014. PMID: 25050062; PMCID: PMC4090129.
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Patient Prefer Adherence. 2014 Jul 03;8:947-57. doi: 10.2147/PPA.S45710. eCollection 2014.

Understanding benefits and addressing misperceptions and barriers to intrauterine device access among populations in the United States.

Patient preference and adherence

Jennie Yoost

Affiliations

  1. Marshall University Department of Obstetrics and Gynecology, Huntington, WV, USA.

PMID: 25050062 PMCID: PMC4090129 DOI: 10.2147/PPA.S45710

Abstract

Three intrauterine devices (IUDs), one copper and two containing the progestin levonorgestrel, are available for use in the United States. IUDs offer higher rates of contraceptive efficacy than nonlong-acting methods, and several studies have demonstrated higher satisfaction rates and continuation rates of any birth control method. This efficacy is not affected by age or parity. The safety of IUDs is well studied, and the risks of pelvic inflammatory disease, perforation, expulsion, and ectopic pregnancy are all of very low incidence. Noncontraceptive benefits include decreased menstrual blood loss, improved dysmenorrhea, improved pelvic pain associated with endometriosis, and protection of the endometrium from hyperplasia. The use of IUDs is accepted in patients with multiple medical problems who may have contraindications to other birth control methods. Yet despite well-published data, concerns and misperceptions still persist, especially among younger populations and nulliparous women. Medical governing bodies advocate for use of IUDs in these populations, as safety and efficacy is unchanged, and IUDs have been shown to decrease unintended pregnancies. Dispersion of accurate information among patients and practitioners is needed to further increase the acceptability and use of IUDs.

Keywords: IUD; contraception; copper; levonorgestrel

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