COPPER INTRAUTERINE CONTRACEPTIVE DEVICES IN ADOLESCENT NULLIPARAE

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Abstract
Summary: Copper intrauterine contraceptive devices (IUCDs) were used in 243 young nulligravidae attending a gynaecological clinic for schoolgirls in Uppsala between March 1973 and June 1975; 226 of these girls (93 per cent) were seen again during December 1975 making a total of 3138 months of observation. At the time of follow up, 126 patients (55.8 per cent) still had the IUCD in situ; 20 per cent had expelled the IUCD and in another 24.2 per cent the IUCD had been removed because of bleeding and/or pain or because of suspected pelvic inflammatory disease (7 patients). Twelve of the girls conceived during the period of observation making the Pearl index 4. 6; nine of the conceptions occurred within nine months of the insertion of the IUCD. Unlike others we do not advocate the use of the IUCD for young nulligravidae.