Two-thirds of women who chose intrauterine device (IUD) placement at the time of emergency contraception (EC) continued use at 1 year, with similar 1-year continuation rates for copper or levonorgestrel IUDs, a recent study found. The cohort study enrolled 188 women who presented at a single family planning clinic between June 2013 and September 2014 and selected either the Cu T380A IUD or LNG 52 mg IUD plus oral LNG for EC. Researchers found:
- 177 women received IUDs: 66 (37%) chose the Cu T380A IUD and 100 (63%) chose the LNG 52 mg IUD plus oral LNG.
- Of the remaining 147 participants at 1 year, 33 (22%) had requested removals, 13 (9%) had an expulsion and declined reinsertion, 3 (2%) had a pregnancy with their IUD in place, and 98 (67%) were still using their device.
- Continuation rates did not differ by IUD type.
Sanders JN, Turok DK, Royer PA, Thompson IS, Gawron LM, Storck KE. One-year continuation of copper or levonorgestrel intrauterine devices initiated at the time of emergency contraception. [Published online ahead of print June 5, 2017]. Contraception. doi:10.1016/j.contraception.2017.05.012.
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Bleeding and Spotting with the LNG 13.5 mg IUS, Contraception; ePub 2019 Mar 1; Shimoni, et al
Contraception and Chronic Opioid Prescriptions, Contraception; ePub 2019 Feb 11; Ray-Griffith, et al
Hormonal Contraception & Coexisting Medical Conditions, Obstet Gynecol; ePub 2019 Feb; Allen, et al
Contraceptive Switching & Discontinuation, Am J Obstet Gynecol; ePub 2018 Dec 18; Simmons, et al
Efficacy of a Levonorgestrel 52-mg IU System, Obstet Gynecol; ePub 2018 Dec 4; Teal, et al