"Today, the FDA still only recommends Mirena for women who have children, and doctors still work to deter childless women from choosing an IUD. When one friend approached her gynecologist about switching to an IUD, the doctor told her that she had a personal policy against prescribing the method to women not in monogamous relationships—even though my friend reported that she understood the risks, has never contracted an STD, and always uses condoms. The implication is that some women are allowed to make their own choices about their reproductive health, and some aren’t—and only women who already have kids are allowed to risk never having any more.
Of course, IUDs aren’t for everyone. When the IUD was approved for childless women in 2005, usage rates jumped 160 percent. But the study found that women who choose IUDs still tend to be “older, to have public health insurance, and to have more children,” while the pill, the patch, and the ring remain more popular among women who have private health insurance and no kids. That leaves the IUD too expensive for the women who want it most and its use discouraged among the women who can actually afford it—and U.S. unplanned pregnancy rates some of the highest in the developing world."
Love this whole post.
[NB: More people than just cis women need and want access to IUD and other forms of hormonal contraception.]