Immediate versus Delayed IUD Insertion after Uterine Aspiration

This trial showed that, as compared with delayed placement, immediate placement of an IUD after uterine aspiration resulted in slightly higher but statistically noninferior rates of expulsion, similar rates of other complications, and higher rates of IUD use at 6 months. More than half of all unintended pregnancies in the United States occur as a result of inconsistent or discontinued use of contraceptives. 1 Intrauterine devices (IUDs) provide safe, highly effective, long-term contraception, but they are underused. 2 Because IUDs do not require active use, once they have been inserted, and have a very low failure rate, their increased use has the potential to substantially reduce unintended pregnancies. 3 Immediate initiation of any contraceptive method after an abortion has been linked to a reduced risk of repeat abortion, 4 with immediate use of an IUD the most effective method for reducing this risk. 4 , 5 IUD . . .