CONTRACEPTION INTRAUTERINE DEVICES CONTRACEPTION

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

1.CONTRACEPTION COPPER IMPREGNATED DEVICES LIKE

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

2.CONTRACEPTION HORMONE RELEASING DEVICES LIKE

• 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