Who should get an IUD for example If you are a teenager and still a virgin does it make sense to get a paragard IUD just in case?

Answer 1

It definitely makes sense to use contraception in addition to a condom if you are considering having sex and are not ready for pregnancy. The choice of an IUD as a method for contraception may make sense depending on your individual preferences. Although most obstetricians insert an IUD only if a woman has been pregnant before, the institution where I trained inserted IUDs in 14 year olds regularly. I have never heard of a woman being denied an IUD because they did not deliver vaginally. The problem with inserting an IUD into the nulligravid (never pregnant) uterus is that the nulligravid uterus is signficantly more rigid and more readily will expel a foreign object, i.e. an IUD. However, an IUD can still be tried if you would risk having to deal with a possible expulsion in exchange for not having to take higher doses of hormones or change out a ring every 4 weeks. Another thing about IUDs is that for the first 4 months the woman is at increased risk from pelvic inflammatory disease, which has been associated with gonorrhea and chlamydia, so a condom is obviously still necessary.