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Book

Intrauterine Device Placement and Removal

In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan.
.
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Book

Intrauterine Device Placement and Removal

Emily L. Lanzola et al.
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Excerpt

The intrauterine device (IUD) is one of the most effective contraception options available today, with failure rates as low as certain sterilization methods. In the United States, 2 types of IUDs currently available—the copper-containing IUD and levonorgestrel-containing IUD, which have similar rates of preventing pregnancy, with failure rates of 0.08% and 0.02%, respectively. These devices are more than 99% effective in preventing pregnancy. Additional benefits of IUDs include efficacy, ease of use, reversible nature, and patient satisfaction, especially for women seeking long-term use and cost-effectiveness.

In the United States, the use of long-acting reversible contraception (LARC) has increased since 1995. This use has continued to rise annually, with 14% of females using contraception opting for LARC methods. With the increased use of LARC, there has been a significant decrease in the number of unplanned pregnancies.

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Conflict of interest statement

Disclosure: Emily Lanzola declares no relevant financial relationships with ineligible companies.

Disclosure: Mary Auber declares no relevant financial relationships with ineligible companies.

Disclosure: Kari Ketvertis declares no relevant financial relationships with ineligible companies.

References

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    1. Wildemeersch D, Hasskamp T, Nolte K, Jandi S, Pett A, Linden S, van Santen M, Julen O. A multicenter study assessing uterine cavity width in over 400 nulliparous women seeking IUD insertion using 2D and 3D sonography. Eur J Obstet Gynecol Reprod Biol. 2016 Nov;206:232-238. - PubMed
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