Table 3. Device Discontinuation Frequency and Characteristics Among Adolescents and Adults Who Had an Intrauterine Device Inserted at the Institute for Family Health Federally Qualified Health Centers Network in 2011 and Who Had Any Clinical Encounters During the 6-Month Follow-up Period After Insertion
AdolescentsAdultP Value
Device continuation status0.7
    No removal or expulsion84 (74.3)169 (76.5)
    Expulsion10 (8.8)14 (6.3)
    Removal19 (16.8)38 (17.2)
Device discontinuation*
    Expulsion
        Expulsion by type0.20
            Hormonal9 (6.9)11 (3.1)
            Nonhormonal1 (2.0)3 (2.1)
        Expulsion by gravidity†0.70
            04 (4.2)4 (2.9)
            ≥14 (6.3)9 (2.8)
        Expulsion by parity†0.50
            05 (3.5)7 (3.1)
            ≥13 (15.0)6 (2.6)
    Removal
        Median contacts before removal (n)32
        Most common reasons for removal‡
            Pain12 (66.7)20 (54.1)
            Bleeding8 (44.4)11 (29.7)
            Parent-related issues2 (11.1)0 (0)
            Pain during intercourse2 (11.1)0 (0)
            Other0 (0)5 (13.5)
            Concern about harm0 (0)3 (8.1)
        Removal by type†0.73
            Hormonal15 (11.5)26 (7.3)
            Nonhormonal4 (8.0)11 (8.2)
        Removal by gravidity†0.12
            010 (10.4)5 (3.6)
            ≥16 (9.5)28 (8.9)
        Removal by parity†0.11
            015 (10.6)11 (4.9)
            ≥11 (5.0)23 (9.9)

  • Data are number (%) unless otherwise indicated.

  • ↵* Denominator based on baseline data from Table 1.

  • ↵† The total may not sum to 100% because of missing data.

  • ↵‡ The total may sum to >100% because patients could select multiple reasons.