Association Between Same-day Intrauterine Device Placement and Contraceptive Outcomes in the Military Health System.
Same-day intrauterine devices placement linked to 10% lower relative hazard of intrauterine devices removal.
Association Between Same-day Intrauterine Device Placement and Contraceptive Outcomes in the Military Health System.
Access to reliable contraception, such as intrauterine devices (intrauterine devices), is critical for the health and operational readiness of female active duty service members.
This study evaluated the association between the documented patient-level receipt of same-day contraceptive services and intrauterine devices-related outcomes, while also assessing the influence of area-level socioeconomic proxies.
A retrospective cohort study utilized administrative data for active duty females who received an intrauterine devices between January 2011 and March 2025.
same-day placement lowered the risk of removal
The final matched cohort comprised 14,446 service members (7,223 per group).
Same-day contraceptive services was not associated with meaningful differences in the hazard of intrauterine devices reinsertion, mechanical failure, or pregnancy.
Area-level socioeconomic proxies demonstrated complex relationships; low-income duty locations were associated with higher hazards of removal (SHR 1.08) and mechanical failure (SHR 1.58), but a lower hazard of pregnancy.
The documented receipt of same-day intrauterine devices services is associated with improved contraceptive continuation among active duty service members, suggesting that reducing logistical barriers to access supports contraceptive longevity.
However, universal healthcare access does not completely eliminate area-level socioeconomic disparities in specific contraceptive outcomes.