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Iud Military - Share All sharing options for: The surprising obstacles military women face in birth control and the only plan to fix them

For many women, military service is more than just serving one's country. Irregular timing and monthly scheduling can be a major challenge in using birth control.

Iud Military

It's a problem when military health clinics only stock certain types of birth control, or when servicewomen (mistakenly) tell servicewomen that long-term birth control like IUDs are ineligible if they don't have children.

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Now a nonprofit pharmaceutical company wants to change all that — offering the military a unique financial deal if its clinics take off.

Liletta is an intrauterine device (IUD), and the IUD is one of the most effective contraceptives on the market. Once inserted, the IUD prevents pregnancy for at least three years.

Liletta is usually expensive. Its sticker price is $625. But the manufacturer announced Monday that it will offer the device to military medical facilities for $55, the same price the companies already offer public health clinics.

Jessica Grossman, CEO of Medicines360, which manufactures Liletta, said: “A number of studies show that one-third of service women do not have access to their preferred birth control method prior to deployment. "Long-acting, reversible contraceptives may be of particular interest to women in this situation."

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Recent studies have documented female service members' difficulties in using contraceptives, particularly during deployment. One study found that four out of 10 women had trouble using birth control while deployed—military women have a higher rate of unintended pregnancy than civilians.

Standard oral contraceptives only last for one month and rely on a woman taking the pill every day, at the same time — a task impossible for women on the front lines. An IUD, on the other hand, lasts for years without any movement on the part of the woman.

But not all military medical centers stock the devices, and some women report facing obstacles trying to get one. An inexpensive IUD can remove one of the obstacles.

In 2013, researchers Kate Grindlay and Daniel Grossman interviewed 281 recently deployed women to understand how they used contraceptives.

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Their findings, published in the journal Contraception, show that women are more likely to have access to birth control.

Some consider birth control to be almost a necessity for deployed women because the military prevents their deployed service members from becoming pregnant. "They made sure we could have birth control before deployment," an Iraq veteran told the researchers. "VERY SURE".

Many people experience obstacles. A third said they did not feel they had the opportunity to choose contraceptives before deployment.

This is especially true for IUDs. Several women requested the device, but said it was not suitable for women who had never given birth. The idea that women need to have children before they can get an IUD is a myth that is widespread even in the civilian world.

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"Because I don't have children, I can't have a baby, and I can't get an IUD," one woman who served in the Navy told researchers. Another woman who served in the Army in Afghanistan in 2010 said, “I wanted to change from the pill to a NuvaRing or an IUD, but the NuvaRing needs refrigeration and they said you have to have a baby. "I have an IUD."

Military health insurance covers all FDA-approved contraceptives, but medical facilities are not required to stock all options. There are 740 of these clinics spread across the United States, and each location decides which types of birth control patients to use.

"Our understanding is that it's different on a different basis, but it's really hard to even get data on what women can get," said Maggie Jo Buchanan, associate director of the Division of Women's Health at the Center for American Development. Report on this issue.

IUDs can be particularly challenging for clinics to maintain. They can be expensive. For example, Liletta is $625 before any discounts. Doctors also need training on how to insert the device.

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Buchanan says that IUDs "can be a good option when traveling everywhere and in situations where it's difficult to take pills at the same time of day or in environments where the patch falls off."

The 2nd US Marine Regimental Combat Team with Program Lion provides security at a traffic control point in Rutbah, Iraq, July 3, 2007, in support of Operation Iraqi Freedom.

Medicines360 is a not-for-profit drug company - it's probably like Oxycodone in the era of high drug prices. It launched in 2009 with a unique mission: to make the best-in-class birth control affordable (this BusinessWeek story is an amazing look at its launch — and Warren Buffett's surprising role).

"One of the big barriers to entry is the upfront cost," Grossman said. An IUD typically costs between $300 and $600. "We started with the sole purpose of developing an affordable yet high-quality IUD."

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Medicines360 partnered with major pharmaceutical company Allergan to launch Liletta in 2015. The device is priced at $625 for private clinics, although it can be ordered in bulk. The real deal was for public hospitals, which could afford the device for as little as $50.

"We're definitely trying to keep our lights on, but we're not making a profit on equipment at that price," Grossman said.

Liletta has sold 75,000 devices since its launch last April. Half of them went to public hospitals. It's unusual: drug companies focus their marketing efforts on private clinics that can afford to pay higher prices.

"We've found that military medical facilities, like public medical clinics, have a problem with keeping IUDs because of the cost," Grossman said. "We wanted to provide this to women who serve."

Contraception And Deployment

Liletta's proposal is not to cooperate with the US military. What types of contraceptives can still be offered by medical centers? Hundreds of such facilities decide whether the temptation to stock up on new birth control is enough.

Allergan Women's Health Vice President Aimee Lennard said, "We will try to make as many military medical facilities aware of this option as quickly as possible and as widely as possible." "We've talked to a few people and we're hoping it works out at that price point."

Buchanan of the Center for American Development said her work found that price was not a major barrier to IUD access among women's service members. Instead, she and other researchers heard from women who encountered myths about the device as a barrier, such as that they had to give birth.

Still, he said, any step toward making the device more accessible is a step in the right direction, and easier financing could cause providers to take a second look at research around IUDs.

Women's Reproductive Health Survey (wrhs) Of Active Duty Service Members: Summary Findings And Policy Implications

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A loaded American coupe weighs about 90 to 136 kg (198 to 300 lb) in warehouse activity.

An improvised explosive device (IED) is an explosive device constructed and planted by means other than conventional military operations. It is made of conventional military explosives such as cannonballs attached to a detonator mechanism. IEDs are commonly used as roadside bombs or improvised explosive devices.

IEDs are commonly used in terrorist attacks or in asymmetric unconventional warfare by insurgent guerrillas or command forces in a theater of operations.

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During the Iraq War (2003–2011), insurgents used IEDs extensively against U.S.-led forces, and by the end of 2007, IEDs accounted for approximately 63% of coalition deaths in Iraq.

They have also been used by insurgent groups in Afghanistan and accounted for more than 66 percent of coalition deaths in the 2001-2021 war in Afghanistan.

IEDs were frequently used by the Liberation Tigers of Tamil Eelam (LTTE) in Sri Lanka during the Sri Lankan Civil War.

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An IED is an improvised explosive device containing destructive, lethal, toxic, pyrotechnic, or incendiary chemicals designed to destroy or disable personnel or vehicles.

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