Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 Apr;169(1):421-423.
doi: 10.1002/ijgo.16063. Epub 2024 Nov 25.

Menstrual suppression to decrease intrauterine device expulsion in adolescents with inherited bleeding disorders

Affiliations

Menstrual suppression to decrease intrauterine device expulsion in adolescents with inherited bleeding disorders

Peter H Cygan et al. Int J Gynaecol Obstet. 2025 Apr.

Abstract

Intrauterine device efficacy in adolescents with heavy menstrual bleeding and bleeding disorders is impacted by expulsion within 30 days of insertion. Menstrual suppression may reduce this risk.

Keywords: abnormal uterine bleeding; adolescent gynecology; heavy menstrual bleeding; inherited bleeding disorders; intrauterine device; menstrual suppression.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

Similar articles

References

    1. Screening and Management of Bleeding Disorders in adolescents with heavy menstrual bleeding: ACOG COMMITTEE OPINION, number 785. Obstet Gynecol. 2019;134(3):e71‐e83. - PubMed
    1. Kendel NE, Zia A, Rosenbaum LE, et al. Intrauterine device outcomes in young women with heavy menstrual bleeding: comparing patients with and without inherited bleeding disorders. J Pediatr Adolesc Gynecol. 2022;35:653‐658. - PubMed
    1. Kuthiala S, Grabell J, Relke N, et al. Management of heavy menstrual bleeding in women with bleeding disorders in a tertiary care center. Res Pract Thromb Haemost. 2023;7(3):100119. - PMC - PubMed
    1. Fassett MJ, Reed SD, Rothman KJ, et al. Risks of uterine perforation and expulsion associated with intrauterine devices. Obstet Gynecol. 2023;142(3):641‐651. - PMC - PubMed
    1. Keenahan L, Bercaw‐Pratt JL, Adeyemi O, Hakim J, Sangi‐Haghpeykar H, Dietrich JE. Rates of intrauterine device expulsion among adolescents and young women. J Pediatr Adolesc Gynecol. 2021;34(3):362‐365. - PubMed

LinkOut - more resources