Diagnostic and therapeutic technology assessment. Intrauterine devices.

The DATTA panelists emphasized the critical importance of patient selection when considering IUDs for contraception. The IUD is an acceptable method of contraception, especially for those women who are in the middle to older reproductive years, unable to take oral contraceptives, in a stable monogamous relationship, and not at risk for sexually transmitted diseases. Within these constraints, the panelists gave overwhelming support to the IUD as a safe and effective method of contraception. The minority opinion (two panelists) that these devices were not established for safety or effectiveness was based on concerns over possible infectious complications.