Only one in every 37,000 women chose to have an intrauterine device inserted shortly after delivery compared with one in every 13 women who chose permanent contraception through tubal sterilization, according to a study in the American Journal of Obstetrics and Gynecology. Almost 15% of those who underwent tubal ligation were under age 25. The IUD is not often considered but it is reversible and "offers essentially no downsides," said one researcher.

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