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Tweens and Teens
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous] This. There's a lot of money to be made by too many people if all American parents of teenage girls believe that IUDs are largely without risk and a good idea. I think it defies logic that it would be a good idea to implant a foreign object into a young teen's uterus, which will stop her cycles (if the IUD is hormonal)...[b]all at the very time her body is supposed to be adjusting to its new capabilities and growing[/b]. This is the first generation of young teen women who will be implanted with these things, so there's hardly decades of evidence pointing to this being an actually a low risk thing to do. Yeah, there are plenty of resources saying it's fine...but there are also plenty of resources that claim that epidurals don't interfere with labor...and there are also plenty of studies that say once an old silicone breast implant has ruptured that the leaky silicone doesn't cause health issues. IUDs for teens are likely good as a matter of public health for certain portions of the population who are never going to use condoms or take the pill reliably, but I think they are likely a lousy choice for many individual teens. [/quote] What her body would ordinarily be doing at this very time, without contraception, is getting pregnant and having babies. But we generally agree that this would not be a good thing, right? [b]Right.[/b] Also, why doesn't it defy logic that it would be a good idea to introduce foreign hormones into a young teen's body, in the form of oral contraception (or Nexplanon, the contraceptive patch, or the contraceptive ring)?[b] It does. However, I think the Pill is the lesser of evils mentioned because it is perhaps the most studied medication in history. There's also no device being implanted into the uterus which could damage and puncture it.[/b] And the portions of the population who don't use condoms reliably or take the pill reliably is -- basically every portion of the population. Even affluent mothers with advanced degrees from fancy universities, who post on DCUM.[/quote] Untrue. I know plenty of individual women who take the Pill reliably. Do what you want, lady. You're free to use your daughter as a teen IUD guinea pig. I don't care, and hopefully your daughter won't either.[/quote] Are we talking about individual people or portions of the population? An IUD might be a good choice for a population group as a whole, but not necessarily for every individual person in that group, right? Somebody (you?) said that in the top post. Well, exactly the same is true for oral contraceptives. And one reason why oral contraceptives might not be a good choice for an individual person is that the individual person would not reliably take them. Also, there is actually plenty of evidence supporting ACOG's recommendations on long-acting reversible contraception (including IUDs) for adolescents. You can read it here: http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Adolescent-Health-Care/Adolescents-and-Long-Acting-Reversible-Contraception Nobody is being a guinea pig.[/quote] 09:03 again. Yes, I agree with you that other options might be good for the population as a whole, and that IUDs might be a great choice for an individual teen. I feel like you keep asking me the same question, or maybe I wasn't clear enough. My issue with is with ACOG's insistence that IUDs ought to be overwhelmingly the first line of defense for all teens. I am saying each teen should be evaluated as an individual, and that many teens are responsible to enough to avoid pregnancy without implanting a device into their uterus which could cause damage. You choose to believe whatever research ACOG drags out in front of you, but I believe that doing taking it all on face value is a bit reckless. That's fine. We can agree to disagree. Ultimately, this is the first generation of nulliparous teens for which this recommendation of IUDs has been made. We have yet to see how this will shake out, both in terms of long-term consequences to the fertility of current teens and in terms of STD rates. Further, there is a pile of medical devices and drugs throughout the course of history which have been approved and then taken off the market, or approved but only to have unforeseen consequences pop up later. I'd say that the excitement that some parents display over the approval of IUDs for teenagers is a little bit strange. For parents who think their child is certainly not responsible enough to set a reminder on their phone to pop a pill each day at the same time, I'm not sure why they are SO convinced that their kid is responsible enough to be diligent about condom usage each time. In fact, I'd think that the - pretty much guaranteed - absence of pregnancy concerns would make a teen far less likely to use condoms, and boys far more likely to pressure girls into going without condoms even if they want to use one. Just look at the STD rates of retirement communities. [/quote]
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