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[quote=Anonymous][quote=Anonymous]

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.  [b]My issue with is with ACOG's insistence that IUDs ought to be overwhelmingly the first line of defense for all teens.[/b]  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.

[/quote]

Which insistence is that? Here is what ACOG actually says:

ABSTRACT: Long-acting reversible contraception (LARC)—intrauterine devices and the contraceptive implant—are safe and appropriate contraceptive methods for most women and adolescents. The LARC methods are top-tier contraceptives based on effectiveness, with pregnancy rates of less than 1% per year for perfect use and typical use. These contraceptives have the highest rates of satisfaction and continuation of all reversible contraceptives. Adolescents are at high risk of unintended pregnancy and may benefit from increased access to LARC methods.

http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Adolescent-Health-Care/Adolescents-and-Long-Acting-Reversible-Contraception

I also seriously doubt that ACOG would dispute that idea that each teen (or each anybody else) should be evaluated as an individual.

Nor is the purpose of an IUD to be the contraceptive method for irresponsible people. It's one contraceptive method for people to consider who want a highly-effective method of reversible contraception with a high rate of satisfaction.

Now I, personally, do wonder why you are fine with teenagers taking hormones orally, intramuscularly, or transdermally, but not fine with teenagers having devices in their uteruses, but that's beside the point.[/quote]

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