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Factors Associated with Contraceptive Satisfaction in Adolescent Women Using the IUD

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 su...

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Bibliographic Details
Published in:Journal of pediatric & adolescent gynecology 2015-02, Vol.28 (1), p.38-42
Main Author: Friedman, Joy O., MD
Format: Article
Language:English
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Summary: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.
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2014.02.015