IUDs at 1 year: Predictors of early discontinuation

Karla Maguire, Sophie Joslin-Roher, Carolyn L. Westhoff, Anne R. Davis

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Objective To assess baseline dysmenorrhea and insertion-related pain as predictors of intrauterine device (IUD) removal within 1 year following insertion. Study design System-wide medical record abstraction 1 year after IUD insertion to identify removals and comparison of baseline characteristics (dysmenorrhea, insertion pain) among women with a removal versus women who continued IUD use was used. Baseline data came from a randomized trial of pain control during insertion. Results Among 199 insertions, we identified 21 removals and 7 expulsions, a continuation rate of 85.9%. Women with IUD removal had higher median dysmenorrhea scores before insertion than those who continued (42 vs. 25.5, p=.03). Insertion pain and other characteristics were not associated with removal. Conclusions Preexisting dysmenorrhea may predict IUD removal within 1 year.

Original languageEnglish (US)
Pages (from-to)575-577
Number of pages3
Issue number6
StatePublished - Dec 1 2015


  • Discontinuation
  • Dysmenorrhea
  • IUD
  • Pain

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


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