Integrating IUD Provision into Your Practice: Site Preparedness, Staff Training, and Procedural Steps

  • Lela R. Bachrach
  • Suzan Goodman


Many resources exist on how to optimize IUD service delivery and guide clinics in developing IUD programs and training providers. Implementing IUD services will go more smoothly if all stakeholders are involved and all clinic staff members are operating at their highest skill level. Clinics can streamline access to adolescents’ and young adults’ preferred method by optimizing clinic-wide training in IUD counseling, skills, and clinic flow. Having a standardized approach to IUD insertion and removal procedures, which takes into account both the behavioral components and cognitive reasoning for these, helps providers to improve standard IUD provision for adolescents and young adults, and to work through complications if they arise. This chapter will help readers to identify initial steps to establish readiness for introducing IUD services into an adolescent and young adult practice, as well as how to access proctoring supervision in order to successfully insert and remove IUDs. Detailed steps for IUD set-up, placement, and removal are outlined, along with guidelines on compiling supplies and materials necessary for IUD procedures.


Adolescent Young adult IUD Copper IUD Levonorgestrel IUD Provision Clinic Staff Procedure Insertion Removal Preparedness Stakeholders 



Adolescent and young adult


Body mass index


Copper IUD


Emergency contraception


Electronic health record


Intrauterine device


Last menstrual period


Sexually transmitted infection


Unprotected intercourse


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Lela R. Bachrach
    • 1
  • Suzan Goodman
    • 2
  1. 1.Department of Adolescent Medicine, UCSF Benioff Children’s Hospital OaklandOaklandUSA
  2. 2.Bixby Center for Global Reproductive Health, Department of Family and Community Medicine, UCSFSan FranciscoUSA

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