Intrauterine devices and adolescents

Gold MA, Melanie A. Gold, Johnson LM, Lisa Johnson, Lisa M Johnson
Current opinion in obstetrics & gynecology · 2008 · vol. 20(5) , pp. 464–469 · doi:10.1097/gco.0b013e32830a98f8 · PMID:18797269 · W2053632470
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This review summarizes recent findings on IUD use in adolescents, highlighting their safety, effectiveness, and underutilization, particularly the levonorgestrel-releasing IUS for its contraceptive and noncontraceptive benefits.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-23 · read from full text ⓘ

This review examines the safety, efficacy, and utilization of intrauterine devices in adolescents, highlighting their status as an underused first-line contraceptive method. The authors note that while IUDs carry no increased risk of pelvic inflammatory disease or infertility, they offer significant noncontraceptive benefits, including reduced menstrual bleeding and pain associated with endometriosis. A major caveat identified is the scarcity of dedicated studies on adolescent IUD use, underscoring a clear need for further research in this demographic. Relevance to endometriosis: mentioned as one of the noncontraceptive benefits of levonorgestrel-releasing IUDs, though the paper's main focus is adolescent contraception.

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Abstract

PURPOSE OF REVIEW: The purpose of this review is to inform the reader of new information published on intrauterine devices (IUDs) and adolescents. RECENT FINDINGS: There are few studies on the use of IUDs in adolescents. The article reviews topics related to IUD use such as adolescents' knowledge of and attitudes toward IUDs, mechanism of action of copper-releasing and levonorgestrel-releasing IUDs, benefits of using IUDs with adolescents, safety, side effects, as well as noncontraceptive benefits such as management of menstrual disorders and endometriosis using IUDs. SUMMARY: IUDs are a safe and effective long-term contraceptive method with no increase in risk of pelvic inflammatory disease, tubal infertility or ectopic pregnancies. IUDs are underutilized in the United States, especially by adolescents. Because adolescents contribute disproportionately to the epidemic of unintended pregnancy, IUDs should be considered as a first-line contraceptive choice regardless of parity. The levonorgestrel-releasing intrauterine system (LNG IUS) is a particularly good choice for adolescents because of associated noncontraceptive benefits such as decreased menstrual bleeding, dysmenorrhea and pain associated with endometriosis. There is a clear need for further studies in the use of the IUD among adolescents.
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Intrauterine devices and adolescents - Melanie A Gold - Lisa M Johnson Purpose of review The purpose of this review is to inform the reader of new information published on intrauterine devices (IUDs) and adolescents. Recent findings There are few studies on the use of IUDs in adolescents. The article reviews topics related to IUD use such as adolescents' knowledge of and attitudes toward IUDs, mechanism of action of copper-releasing and levonorgestrel-releasing IUDs, benefits of using IUDs with adolescents, safety, side effects, as well as noncontraceptive benefits such as management of menstrual disorders and endometriosis using IUDs. Summary IUDs are a safe and effective long-term contraceptive method with no increase in risk of pelvic inflammatory disease, tubal infertility or ectopic pregnancies. IUDs are underutilized in the United States, especially by adolescents. Because adolescents contribute disproportionately to the epidemic of unintended pregnancy, IUDs should be considered as a first-line contraceptive choice regardless of parity. The levonorgestrel-releasing intrauterine system (LNG IUS) is a particularly good choice for adolescents because of associated noncontraceptive benefits such as decreased menstrual bleeding, dysmenorrhea and pain associated with endometriosis. There is a clear need for further studies in the use of the IUD among adolescents.

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Condition tags

endometriosisdysmenorrheainfertility

MeSH descriptors

Intrauterine Devices Menstruation Pregnancy in Adolescence Adolescent Contraceptive Agents Contraceptive Agents Endometriosis Endometriosis Equipment Design Female Humans Inflammation Intrauterine Devices, Copper Intrauterine Devices, Copper Intrauterine Devices, Medicated Intrauterine Devices, Medicated Levonorgestrel Levonorgestrel Menstruation Pregnancy

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