CONTRACEPTION INTRAUTERINE DEVICES CONTRACEPTION
CONTRACEPTION INTRAUTERINE DEVICES CONTRACEPTION
- IT IS A WIDELY ACCEPTABLE REVERSIBLE METHOD OF CONTRACEPTION FOR SPACING BIRTHS.
- FOR THIS
1.CONTRACEPTION COPPER IMPREGNATED 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
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 
