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J Pediatr Adolesc Gynecol. 2015 Feb;28(1):38-42. doi: 10.1016/j.jpag.2014.02.015.

Factors associated with contraceptive satisfaction in adolescent women using the IUD.

Author information

1
Oakland University William Beaumont School of Medicine, Hough Center for Adolescent Health, Beverly Hills, MI. Electronic address: joy.friedman@beaumont.edu.

Abstract

STUDY OBJECTIVE:

To estimate satisfaction and to identify factors contributing to an adolescent woman's satisfaction with the levonorgestrel-containing or copper intrauterine device (IUD).

DESIGN:

Adolescent women presenting to an urban clinic within 1 month of IUD insertion completed survey questionnaires about prior use of contraception, gynecologic/obstetric history, and a pain scale. Participants were contacted at 3 and 6 months post-insertion to complete surveys regarding satisfaction with the IUD, their menstrual bleeding patterns, and pain and cramping due to the IUD. Chi-square test, Fisher exact test, and logistic regression were used for analysis.

SETTING:

Mount Sinai Adolescent Health Center in New York City.

PARTICIPANTS:

Seventy-nine adolescent women aged 15-24 y.

INTERVENTIONS:

None.

MAIN OUTCOME MEASURE:

Satisfaction was measured at 3 and 6 months post-IUD insertion as a 10-point Likert item.

RESULTS:

82% and 76% percent of participants were available for follow-up at 3 and 6 months, respectively. Satisfaction with the IUD was high overall with 75.4% (49/65) of participants choosing a satisfaction rating of eight or higher on the 10-point scale at 3 months and 76.7 % (46/60) at 6 months. Prior history of pregnancy and selecting the levonorgestrel containing IUD were predictive of higher satisfaction at 3 months, but not at 6 months. Parity and prior use of contraceptive methods were not predictive of satisfaction.

CONCLUSION:

The finding of high satisfaction across participants supports the current recommendation for the IUD as a first-line contraceptive for adolescents. Nulliparous young women and those who are naïve to contraception should be considered as candidates for the IUD.

KEYWORDS:

Adolescent; Contraception; IUD; IUS; Intrauterine device; Satisfaction

PMID:
25555299
DOI:
10.1016/j.jpag.2014.02.015
[Indexed for MEDLINE]

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