Abstract
When available and used properly, intrauterine devices (IUDs) are near-perfect birth control as they provide highly effective protection against pregnancy with minimal to no adverse systemic side effects. Therefore, patient satisfaction rates are high.1 Given these successes, IUD provision has markedly expanded.2,3 In many contraceptive markets globally, new IUD doses and sizes have been added recently. Several devices are indicated for extended use beyond their labelled duration, for post-partum and post-abortion placement,4 for emergency contraception,5 for use in people at extremes of reproductive age, for prevention and even treatment of some endometrial cancers and other causes of atypical uterine bleeding, and for menstrual suppression including in transgender and gender-diverse individuals.
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