September 17, 2026 · O&G open · DOI: 10.1097/og9.0000000000000202

Trends in Intrauterine Device Use Before and After National Eligibility Guideline Changes

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The authors aimed to investigate the impact of national guideline updates from 2010 to 2014 on intrauterine device (IUD) use among adolescents and nulliparous women in the United States. Their analysis revealed a significant increase in IUD use among nulliparous women following the guideline changes, while usage among parous women plateaued, indicating a shift in contraceptive preferences without significant differences based on insurance coverage. Overall, the findings suggest that the updated guidelines effectively expanded access to IUDs, although the increase in use remained modest over time.

Kandice A Kapinos, Gabriela Alvarado, Kortney Floyd James

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