IUD still on the shelf for most women, su...( The vast majority of obstetrician-gynec...),Health

In a first-ever survey measuring the use of IUDs in clinical practice among a national sample of obstetricians-gynecologists, Nancy Stanwood, M.D., M.P.H., and her co-authors report that 20 percent of the respondents had not inserted an IUD in the past year and of those who did, 79 percent inserted 10 or fewer. Fear of litigation and a belief that IUDs cause pelvic inflammatory disease are reasons that IUDs are so rarely used in the United States compared to other developed countries, Stanwood says in the February 2002 edition of Obstetrics & Gynecology. In addition, respondents with very restrictive criteria for selecting IUD candidates used IUDs less often in their practices.

The research was funded solely by the Robert Wood Johnson Foundations Clinical Scholars Program. Stanwood, an assistant professor at Rochester, conducted the survey while at the University of North Carolina, Chapel Hill, and joined the OB/Gyn faculty at the universitys Strong Memorial Hospital in July 2001. With a special interest in helping women prevent unintended pregnancies and abortion, her objective was to discover why use of IUDs remains so low in the U.S.

Stanwood says the biggest myth about todays IUDs is that they cause pelvic inflammatory disease, or PID, which was linked in the 1970s to the Dalkon Shield IUD. It is exposure to sexually transmitted infections such as chlamydia or gonorrhea that causes PID, not IUDs, she says.

Modern IUDs fail less often than other forms of contraception because couples do not have to remember to take a pill or use a condom. For example, with perfect use of oral contraceptives only 0.1 percent of women ge
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Contact: Leslie Orr
leslie_orr@urmc.rochester.edu
585-275-5774
University of Rochester Medical Center
31-Jan-2002