PU Contraceptive Comparison Discussion – Description
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Intrauterine devices (IUDs) have several advantages over implant contraception, including their convenience and durability. IUDs are tiny, T-shaped contraceptives that is inserted by the provider into the uterus. They can prevent conception for several years. IUDs are one of the most dependable types of contraception now available, with an extremely low failure rate of less than 1%, according to a study published in the Journal of Women’s Health in 2020 (Kavanaugh et al., 2020).
Contraceptive implants, like Nexplanon, on the other hand, are implanted beneath the skin of the upper arm and are effective for up to three years. But according to a 2018 study published in the journal Contraception, the typical failure rate for implants is slightly greater than that of IUDs, with a failure rate of 0.05% for IUDs compared to 0.38% for implants (Winner et al., 2018). IUDs are, therefore, an excellent option for women looking for long-term and highly effective contraception because of the increased duration of effectiveness and lower failure rates.
A 14 year old comes in with her mother. The mother reports that the daughter came to her the day before the visit to let her know that she was sexually active, so the mom wanted to have her on IUD. The daughter has previously used a contraceptive pill to control heavy periods, and the mom did not think that would be helpful in this case because the daughter might forget. Both mom and daughter were educated on all their options, including the IUD.
They were also educated on the pros and cons of each. The process of inserting an IUD for the daughter who has never had a child was explained to both mother and daughter, and they agreed that the implant would be a better option. They proceeded to get blood drawn for a pregnancy test to be done because a negative result was required to proceed with the procedure. Both mom and daughter were glad they had that education on their choices. Meanwhile, the daughter was encouraged not to have sex pending lab work.
Sources
Kavanaugh, M. L., Jerman, J., & Finer, L. B. (2020). Changes in use of long-acting reversible contraceptive methods among US women, 2009-2012. Journal of Women’s Health, 29(5), 595-601.
Winner, B., Peipert, J. F., Zhao, Q., Buckel, C., Madden, T., Allsworth, J. E., & Secura, G. M. (2018). Effectiveness of long-acting reversible contraception. New England Journal of Medicine, 379(19), 1817-1827.
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