Interest in a self-removable intrauterine contraceptive method

Introduction: Intrauterine Contraceptives (IUCs) are one of the most effective, convenient and cost-effective methods of preventing pregnancy. The need for provider removal may discourage use, particularly for young women. This study examines attitudes towards a self-removable IUC among women at risk for an unintended pregnancy – those currently seeking abortion services. Methods: Between April and September 2010, 602 women at 6 clinics across the country completed an anonymous survey on laptops. The survey asked about interest in a hypothetical new IUD that could be removed at home. Results: When asked about preferred features of birth control methods, 40% said it was extremely important to get a method without seeing a doctor and 66% said it was extremely important to have control over when and whether to use it. While history of IUC use was uncommon (7%), over a third (36%) of women expressed willingness to consider future use. One of 43 previous IUC users reported successfully removing her IUC. One quarter of respondents would be more willing to try an IUC if they could remove it at home. Multivariable logistic regression revealed that the strongest predictor of interest in home removal was prior interest in an IUC (OR:3.5, 95%CI [2.35, 5.18]). Women who report likelihood of future unprotected sex and those that wanted a method that does not require a doctor were more likely to prefer a home removable IUC (63% and 60%). Conclusion: Self-removability does not entice new potential users but may increase adoption among women interested in IUCs.