Intrauterine devices and adolescents

Gold, Melanie A.; Johnson, Lisa

doi:10.1097/gco.0b013e32830a98f8

Cited by 39 publications

(20 citation statements)

References 38 publications

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“…On the other hand more recent studies find that IUD is a safe and effective long-term contraceptive method for the above discussed population [23]. The article concludes that because adolescents contribute disproportionately to the epidemic of unintended pregnancy, IUDs should be considered as a first-line contraceptive choice regardless of parity.…”

Section: Background and Objectivementioning

confidence: 99%

Contraception in HIV-positive female adolescents

Landolt

Lakhonphon²,

Ananworanich

2011

AIDS Res Ther

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Sexual behavior of HIV-positive youths, whether infected perinatally, through risky behavior or other ways, is not substantially different from that of HIV-uninfected peers. Because of highly active antiretroviral therapy, increasing number of children, infected perinatally, are surviving into adolescence and are becoming sexually active and need reproductive health services. The objective of this article is to review the methods of contraception appropriate for HIV-positive adolescents with a special focus on hormonal contraceptives. Delaying the start of sexual life and the use of two methods thereafter, one of which is the male condom and the other a highly effective contraceptive method such as hormonal contraception or an intrauterine device, is currently the most effective option for those who desire simultaneous protection from both pregnancy and sexually transmitted diseases. Health care providers should be aware of the possible pharmacokinetic interactions between hormonal contraception and antiretrovirals. There is an urgent need for more information regarding metabolic outcomes of hormonal contraceptives, especially the effect of injectable progestins on bone metabolism, in HIV-positive adolescent girls.

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Section: Background and Objectivementioning

confidence: 99%

Contraception in HIV-positive female adolescents

Landolt

Lakhonphon²,

Ananworanich

2011

AIDS Res Ther

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“…Thus, IUD use by nulliparous women is an area in the field of contraception that needed further research 5 .…”

mentioning

confidence: 98%

Use of the levonorgestrel releasing-intrauterine system in nulliparous women – a non-interventional study in Sweden

Marions

Lövkvist²,

Taube

et al. 2011

The European Journal of Contraception & Reproductive Health

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“…The levonorgestrel-releasing intrauterine system is a particularly good choice for adolescents because of associated non-contraceptive benefits such as decreased menstrual bleeding, dysmenorrhea and pain associated with endometriosis [1]. Yet a cornual pregnancy following the use of a levonorgestrel intrauterine device is a complication which, to our knowledge, has not been described before.…”

Section: Resultsmentioning

confidence: 99%

Cornual pregnancy as a complicaton of the use of a levonorgestrel intrauterine device: a case report

Beltman

Groot

2009

J Med Case Rep

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IntroductionComplications of copper load intrauterine devices, including ectopic pregnancies are well reported. Rates of ectopic pregnancy are 0.6 to 1.1% per year. However, the levonorgestrel intrauterine device has been described as more protective against ectopic pregnancies due to the addition of the hormone levonorgestrel. The hormone released from the intrauterine device causes some systemic effects, but local effects such as glandular atrophy and stromal decidualization, in addition to foreign body reaction, are dominant. Few case reports have described ampullary ectopic pregnancies. However, we report, for the first time, a major complication of levonorgestrel intrauterine device: a cornual pregnancy.Case presentationA 36-year-old Caucasian nulliparous woman presented with complaints of progressive nausea, abdominal pain and irregular vaginal bleeding for 2 months. For 3 years, she had been using a levonorgestrel intrauterine device. A two-dimensional transvaginal sonogram noted a sac situated external to the endometrial cavity in the right cornua of the uterus with an empty uterus. She was successfully treated with chemotherapy.ConclusionMany complications have been described, including ectopic pregnancies, using copper intrauterine devices. The levonorgestrel-releasing intrauterine system is a particularly good choice for adolescents because of associated non-contraceptive benefits such as decreased menstrual bleeding, dysmenorrhea and pain associated with endometriosis [1]. Yet a cornual pregnancy following the use of a levonorgestrel intrauterine device is a complication which, to our knowledge, has not been described before. Physicians prescribing this type of intrauterine device should be aware of this rare event.

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Intrauterine devices and adolescents

Cited by 39 publications

References 38 publications

Contraception in HIV-positive female adolescents

Contraception in HIV-positive female adolescents

Use of the levonorgestrel releasing-intrauterine system in nulliparous women – a non-interventional study in Sweden

Cornual pregnancy as a complicaton of the use of a levonorgestrel intrauterine device: a case report

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