Abstract
The intrauterine contraceptive device (IUCD) has been a method of contraception used for centuries, worldwide. Although the IUCD is a widely accepted and utilized method of contraception throughout Europe and China, only 0.8% of women in North America aged 15 to 44 years are using the IUCD for contraception.1 In a 1999 survey, 9% to 24% of women in five European countries and 33% of Chinese women using contraception were utilizing the IUCD.2 Misconceptions regarding the IUCD likely propagated by the circumstances surrounding the Dalkon Shield in the 1970s may be the critical event leading to practitioners' apprehension of recommending the IUCD as a safe and effective contraceptive method.
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