Drivers and barriers to the proper use of intrauterine systems

Intrauterine contraceptive methods are the most effective in their typical use and the most popular reversible contraception methods. In Italy their popularity is growing, but the use of such systems is still hampered by some “common beliefs”, counselling challenges and problems encountered by some gynaecologists when inserting intrauterine devices. These are the reasons why a group of experts was invited to discuss this topic and provide clinical practice recommendations. This document is the result of this process and offers three separate sections addressing the following subjects: “Drivers and barriers to the proper use of intrauterine systems”, “Detailed intrauterine system counselling for women” and “Practical aspects related to the insertion of intrauterine systems”.