Intrauterine Device Use in Adolescents With Disabilities
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Intrauterine devices (IUDs) are increasingly being used in adolescents and nulliparous women for contraception. Levonorgestrel IUDs also have beneficial effects on bleeding and pain. Although they are recommended for menstrual suppression in adolescents with disabilities, there are limited data on their use in this population. The objective of this study is to describe the characteristics and experiences of levonorgestrel IUD use in nulliparous children, adolescents, and young adults with physical, intellectual, and developmental disabilities.

In total, 185 levonorgestrel IUDs were placed in 159 patients with disabilities. The mean age was 16.3 years. Only 4% had ever been sexually active; 96% of IUDs were inserted in the operating room. IUD continuation rate at 1 year was 95% and at 5 years was 73%. The amenorrhea rate was 60% throughout the duration of IUD use among those with available follow-up data. Side effects and complications were 3%.

This study provides evidence for the therapeutic benefit and safety of levonorgestrel IUD use in adolescents and young adults with physical, intellectual, and developmental disabilities. It should be considered as menstrual management and a contraceptive option for this population.

Source: https://pediatrics.aappublications.org/content/early/2020/07/21/peds.2020-0016
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