WHO copper intrauterine device young women adolescents eligibility safety
Copper T is used in young women because it is a highly effective, long-acting, reversible, non-hormonal contraceptive.
Key reasons:
Very effective: It prevents pregnancy for years after one insertion.
No daily pill: Useful when regular pill-taking may be difficult.
Hormone-free: It does not cause hormonal side effects and can be chosen when hormonal contraception is unsuitable or unwanted.
Reversible: Fertility returns quickly after removal. It does not cause infertility.
Can be used in adolescents and women who have not delivered a baby: Young age or being unmarried/nulliparous is not, by itself, a reason to avoid an IUD. The WHO IUD guidance states that IUDs are suitable for women of all ages, including adolescents.
Emergency contraception: A copper IUD can also prevent pregnancy if inserted within 5 days after unprotected intercourse, while then continuing as contraception.
However, it may not be the best choice if she already has heavy or painful periods, anemia, untreated pelvic infection/STI, or certain uterine abnormalities. Copper T can make periods heavier and cramps worse, especially in the first months. It also does not protect against STIs, so condoms are still important.
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