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Safety of insertion of the copper IUD and LNG-IUS in nulliparous women: a systematic review.

Therese ForanBelinda E ButcherGab KovacsDeborah BatesonVivienne O'Connor
Published in: The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception (2018)
A long-acting reversible contraceptive method such as IUC reduces the risk of unintended pregnancy since user failure is minimised. Evidence-based information about the advantages and disadvantages of IUC is required to inform decision-making and dispel any myths and misperceptions. Potential barriers to IUC use in nulliparous women, particularly concerns around infection, significantly higher rates of device expulsion and adverse effects on fertility, do not appear to be justified. IUC is appropriate for all medically-eligible women, including nulliparous women, and should be included in the range of contraceptive options discussed during counselling.
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