Interest in and experience with IUD self-removal

Diana Greene Foster, Daniel Grossman, David K. Turok, Jeffrey F. Peipert, Linda Prine, Courtney A. Schreiber, Andrea V. Jackson, Rana E. Barar, Eleanor Schwarz

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objectives: In the United States, the popularity of intrauterine devices (IUDs) is low despite many positive attributes such as high effectiveness and ease of use. The requirement that a clinician remove the IUD may limit US women's interest in the method. Our objective was to describe women's experience with self-removal and its effect on attitudes toward the method. Study design: We assessed interest in attempting and success in IUD self-removal among women seeking IUD discontinuation from five US health centers. Women were given the option of attempting self-removal of the IUD. Participants were asked to complete two surveys about their reasons for desiring IUD removal, attitudes toward IUD use and experience with self-removal and/or clinician removal. Results: Three hundred twenty-six racially diverse women participated (mean age, 28 years; body mass index, 27; duration of IUD use, 3 years); more than half were willing to try self-removal [95% confidence interval (CI): 45-65%], and among those who tried, one in five was successful (95% CI: 14-25%). More than half of participants (54%) reported they were more likely to recommend IUD use to a friend now that they know that it might be possible to remove one's own IUD; 6% reported they were less likely to recommend the IUD to a friend. African American women were particularly interested in the option of IUD self-removal. Conclusions: Many women are interested in the concept of IUD self-removal, although relatively few women currently succeed in removing their own IUD. Implications: Health educators, providers and advocates who inform women of this option potentially increase IUD use, reducing rates of undesired pregnancy.

Original languageEnglish (US)
Pages (from-to)54-59
Number of pages6
JournalContraception
Volume90
Issue number1
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

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Device Removal
Intrauterine Devices
Confidence Intervals
Health Educators
Pregnancy Rate

Keywords

  • Contraceptive attitudes
  • Intrauterine contraception
  • IUD
  • Self-removal

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Foster, D. G., Grossman, D., Turok, D. K., Peipert, J. F., Prine, L., Schreiber, C. A., ... Schwarz, E. (2014). Interest in and experience with IUD self-removal. Contraception, 90(1), 54-59. https://doi.org/10.1016/j.contraception.2014.01.025

Interest in and experience with IUD self-removal. / Foster, Diana Greene; Grossman, Daniel; Turok, David K.; Peipert, Jeffrey F.; Prine, Linda; Schreiber, Courtney A.; Jackson, Andrea V.; Barar, Rana E.; Schwarz, Eleanor.

In: Contraception, Vol. 90, No. 1, 01.01.2014, p. 54-59.

Research output: Contribution to journalArticle

Foster, DG, Grossman, D, Turok, DK, Peipert, JF, Prine, L, Schreiber, CA, Jackson, AV, Barar, RE & Schwarz, E 2014, 'Interest in and experience with IUD self-removal', Contraception, vol. 90, no. 1, pp. 54-59. https://doi.org/10.1016/j.contraception.2014.01.025
Foster DG, Grossman D, Turok DK, Peipert JF, Prine L, Schreiber CA et al. Interest in and experience with IUD self-removal. Contraception. 2014 Jan 1;90(1):54-59. https://doi.org/10.1016/j.contraception.2014.01.025
Foster, Diana Greene ; Grossman, Daniel ; Turok, David K. ; Peipert, Jeffrey F. ; Prine, Linda ; Schreiber, Courtney A. ; Jackson, Andrea V. ; Barar, Rana E. ; Schwarz, Eleanor. / Interest in and experience with IUD self-removal. In: Contraception. 2014 ; Vol. 90, No. 1. pp. 54-59.
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