Experience With Intrauterine Device Insertion in Never Sexually Active Adolescents: A Retrospective Cohort Study

Abstract

Background Intrauterine devices can offer both contraceptive and noncontraceptive benefits to never sexually active adolescents. There are increasing data on intrauterine device use in adolescents; however, most data on intrauterine devices in adolescents are related to contraceptive use. There is very limited literature on intrauterine device placement in adolescents who have never been sexually active. Objective The objective of the study was to compare intrauterine device insertion success between never sexually active and sexually active cohorts. Study Design We performed a retrospective chart review of patients aged 10–20 years with attempted intrauterine device insertion at a children’s hospital between October 2015 and September 2017. Results A total of 210 patients were included, of whom 82 were never sexually active. Never sexually active adolescents were younger at insertion (15.6 vs 16.7 years, P Conclusion To our knowledge, this is the first study describing intrauterine device insertion in never sexually active patients. Although office success rates were lower, intrauterine device insertion in never sexually active adolescents was very successful overall, and intrauterine devices should be offered to this population.