CONTRACEPTION INTRAUTERINE DEVICES with or without HORMONE RELEASING DEVICES

 

CONTRACEPTION INTRAUTERINE DEVICES CONTRACEPTION

INTRAUTERINE DEVICES

CONTRACEPTION INTRAUTERINE DEVICES CONTRACEPTION

  • IT IS A WIDELY ACCEPTABLE REVERSIBLE METHOD OF CONTRACEPTION FOR SPACING BIRTHS.
  • FOR THIS

 

1.CONTRACEPTION COPPER IMPREGNATED DEVICES LIKE

   

HORMONE RELEASING DEVICES LIKE

CONTRACEPTION INTRAUTERINE DEVICES CONTRACEPTION 2

  • CuT 200,THIRD GENERATION IUDS CuT 380A, MULTILOAD CuT 250, MULTILOAD 375

 

2.CONTRACEPTION HORMONE RELEASING DEVICES LIKE

 

COPPER IMPREGNATED DEVICES LIKE

CONTRACEPTION INTRAUTERINE DEVICES CONTRACEPTION 3

  • LEVONORGESTREL INTRAUTERINE SYSTEM ( LNG-IUS ) THIRD GENERATION IUDS,
  • PROGESTASERT,
  • LIPPES LOOP.

 

MODE OF ACTION

   

  • IT IS NOT CLEAR.MOST PROBABLY IT PRODUCES NONSPECIFIC BIOCHEMICAL AND HISTOLOGICAL CHANGES IN THE ENDOMETRIUM AND IONISED COPPER HAS GOT SPERMOLYTIC AND GAMETOTOXIC EFFECTS.
  • LNG-IUS INDUCES UNIFORM SUPPRESSION OF ENDOMETRIUM AND PRODUCES VERY SCANTY CERVICAL MUCOUS.
  • IT SHOULD NOT BE INTRODUCED IN NEWLY MARRIED WOMEN OR WHEN ANY PELVIC PATHOLOGY IS PRESENT.

 

TIME OF INSERTION

  • IT CAN BE INTRODUCED DURING THE INTERVAL PERIOD OR FOLLOWING ABORTION OR CHILD BIRTH.

 

COMPLICATIONS

   

IMMEDIATE COMPLICATIONS INCLUDE

  • CRAMP LIKE PAINS OR SYNCOPAL ATTACKS.

 

DELAYED COMPLICATIONS INCLUDE

  • a. PELVIC PAIN
  • b. MENSTRUAL IRREGULARITIES
  • c. EXPULSION OF THE IUD
  • d. PERFORATION OF THE UTERUS
  • THE COMPLICATIONS ARE MUCH LESS WITH THIRD GENERATION IUDs

 

INDICATIONS OF REMOVAL

  • a. MISSING THREADS
  • b. PERSISTENT PELVIC PAIN
  • c. MENORRHAGIA
  • d.PREGNANCY
  • e.DISPLACEMENT OF THE DEVICE AND
  • f. FLARING UP OF THE PELVIC INFECTION
  • CuT 200 IS REPLACED AFTER 3-4 YEARS
  • MULTILOAD 375 IS REPLACED AFTER 5 YEARS
  • CuT 380 A AFTER 10 YEARS
  • LNG-IUS AFTER 5 YEARS

 

CONTRACEPTION FAILURE RATE  –

  • 0.5-2 PER HWY
  • COPPER DEVICE CAN ALSO BE USED AS POST COITAL CONTRACEPTION AND FOLLOWING SYNAECOLYSIS.

 

Recomended Product —

Clearblue Easy Digital Ovulation Test,  Contraception Contraception methods