Abstract

Long-acting reversible contraceptive choices are becoming more popular among young women, and providers may need to keep in mind those methods that are likely to be most successful. The dimensions of the uterine cavity vary according to the parity of a user, with the nulliparous woman having a smaller uterine space. With the known intrauterine contraceptive device side effects being possible, and with smaller such devices being clinically available for patients, selection of those smaller devices for contraceptive use may be more ideal for those younger nulliparous women. In this way, complications with this method may possibly be avoided. 

Highlights

  • Long-acting reversible contraceptive choices are becoming more popular among young women, and providers may need to keep in mind those methods that are likely to be most successful

  • With the increasing use of Long-Acting Reversible Contraception (LARC) choices, it is important for health providers to recognize the concerns which are pertinent to the patients requesting such proper management

  • It is worth noting that the average width of the nulliparous uterus is 27 mm, whereas the average width of the multiparous uterus is 32 mm [2].The width of both the Cu-T380A Intrauterine contraceptive device (IUD) and the LNGIUS (e.g. Mirena), is 32 mm

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Summary

Introduction

Long-acting reversible contraceptive choices are becoming more popular among young women, and providers may need to keep in mind those methods that are likely to be most successful. There are features of the Intrauterine contraceptive device (IUD) about which patients should be adequately informed, so that an optimal LARC method can be selected. Before 2005, IUDs were not recommended for use in a nulliparous woman, but such is not the case at present, as there is currently a growing interest in this method of contraception among young nulliparous women [1].

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