• Barbara S. Apgar


The intrauterine contraceptive device (IUD) has not increased in popularity despite testimony to its effectiveness and safety. Even though litigation against the currently marketed IUDs is minimal,1,2 the most common reason clinicians are reluctant to insert them is fear of malpractice. All U.S. Food and Drug Administration (FDA) approved IUDs have been removed from the market except the progesterone IUD (Progestasert) and Copper T (ParaGard T). The decision to discontinue marketing most IUDs was based on an economic decision rather than a medical one. The severity of IUD litigation results from the public perspective that the IUD is not safe. Pelvic inflammatory disease (PID) sequelae alleged to have resulted in permanent infertility accounts for 89% of the cases tried against Planned Parenthood. It is emphasized by Planned Parenthood legal counsel that the ability of a defense attorney to successfully resolve an IUD case is based on the clinician’s full compliance with the manufacturer’s recommended protocol and the use of a complete informed consent.2


Ectopic Pregnancy Pelvic Inflammatory Disease Sexually Transmitted Disease Intrauterine Device Menstrual Blood Loss 
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© Springer Science+Business Media New York 1994

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  • Barbara S. Apgar

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