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UPDATE: CONTRACEPTION

OBG Management. 2010 August;22(08):16-23
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Demand for long-acting reversible contraception is growing, including in adolescents and nulliparas. We need to challenge our historical reservations about the IUD and heed the call.

  • various-sized specula
  • cervical dilators
  • an examination table adjustable for height and position
  • an assistant to reassure and comfort the patient and to assist you.

We’re out from under a dark cloud

It’s been a long road for US clinicians, coming back from the damage done by the Dalkon Shield to their interest in inserting IUDs in nulliparous and adolescent women. But we are gradually seeing a change in both physicians’ and patients’ opinions about using intrauterine devices for these populations.

Demand is growing in the United States for long-acting reversible contraception; we need to challenge our reservations and provide the care that our patients are requesting. The opinions and advice of our supporting professional organizations, based on the recent literature, point to the appropriateness of embracing IUDs for nulliparous and adolescent women.

We urge you: Heed the call.

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