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Original Study| Volume 32, ISSUE 5, SUPPLEMENT , S14-S22, September 2019

Practical Tips for Intrauterine Device Counseling, Insertion, and Pain Relief in Adolescents: An Update

  • Paula J. Adams Hillard
    Correspondence
    Address correspondence to: Paula J. Adams Hillard, MD, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA 94305-5317
    Affiliations
    Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California
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Published:February 22, 2019DOI:https://doi.org/10.1016/j.jpag.2019.02.121

      Abstract

      The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists have endorsed intrauterine devices as first-line contraceptive choices for nulliparous and parous adolescents. Practical concerns about intrauterine devices might be barriers to use for teens and clinicians; this review is devoted to “practical tips” for clinicians, on the basis of an update of the available literature as well as the author's clinical experience. Counseling about contraceptive choices, preventive guidance about possible side effects, informed consent, and pain management are addressed to promote successful use of this long-acting reversible contraption option.

      Key Words

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