OPTIMIZING IUD DELIVERY FOR ADOLESCENTS AND YOUNG ADULTS. COUNSELING, PLACEMENT, AND MANAGEMENT

The Intrauterine Device and Adolescents – History and Present
Making Your Office Accessible for Adolescents and Young Adult IUD Services
Types of IUDs and Mechanism of Action
Addressing IUD Efficacy, Eligibility, Myths, and Satisfaction with Adolescents and Young Adults
IUD Counseling: What’s Choice Got to Do With It?
Just Do it: The When and How of IUD Insertion
Consenting and Pre-Procedural Counseling for IUD Insertion: What to Expect and What to Talk About
Integrating IUD Provision Into Your Practice: Site Preparedness, Staff Training, and Procedural Steps
Pharmacologic Approaches to Pain Management with IUD Insertion
Nonpharmacologic Approaches to Pain Management with IUD Insertion
Follow Up After IUD insertions: Managing IUD Expectations, Addressing Side Effects, and Providing Post-Insertion Counseling
Challenging IUD Procedures
Adolescent and Young Adult IUD Delivery in Non-Traditional Health Settings

Many individuals worldwide initiate sexual activity during their adolescent and young adult (AYA) years and are in need of safe and effective contraceptive services. Because of their safety profile, ease of use, and privacy many international professional organizations recommend that long-acting reversible contraception (LARC), including intrauterine devices (IUDs), be included in contraception discussions with AYAs. IUDs are particularly advantageous because these methods are safe and highly effective (>99% efficacy), are easier to keep confidential because they are often undetectable to others, and do not require daily adherence or frequent visits for refills. Despite significant evidence of their safety, acceptability, and effectiveness among adolescents and AYAs, IUDs remain underutilized in this population.
Written by experts in the field, Optimizing IUD Delivery for Adolescents and Young Adults provides a comprehensive framework that examines the history of IUDs, counseling, initiation, placement, and follow-up techniques that are unique to AYA populations. The text closes with resource chapters, including, expert clinical pearls for AYA IUD delivery, how to access IUD training, and information on IUD billing and reimbursement. In an effort to integrate the voice of youth, clinical case examples and patient stories are utilized throughout to provide both a clinical grounding for each chapter and context within which to apply the chapter material.

Features
• Uses clinical pearls and use of clinical case examples as teaching tools, and contains chapters from an adolescent perspective
• Provides information and instructions on IUD service delivery in non-traditional clinical settings
• Written by experts in the field, this book comprehensively covers evidence-based IUD delivery for adolescents and young adults

Authors
• Mandy Coles, MD, MPH, Associate Professor, Department of Pediatrics, Boston University Medical Center, Boston, MA, USA
• Aisha Mays, MD, Head of Clinical Skills, UC Berkeley – UCSF Joint Medical Program, Berkeley, CA, USA