Intrauterine Contraceptive Devices, or IUDs, are a means of contraception generally used by women who, for medical reasons, cannot use hormonal contraceptive methods (for example, oral contraceptives), or who are not motivated or prefer not to use such methods. methods.
IUDs are small devices that your doctor inserts into your uterus. They act by preventing implantation.
There are numerous types that have been developed over the years, the most common being:
• Multicharge Copper 250
• Copper tee
• Nova T
• Lip loop
• Mirena Intrauterine System
Tea Mirena intrauterine system it is a hormone-impregnated IUD. It acts locally by greatly thickening the mucosa of the cervix, thus preventing the passage of sperm. It also makes the lining of the endometrium thinner, which prevents implantation.
Overall failure rates for common contraceptive methods (failure rate for women using the method over 1 year):
• Mirena intrauterine system: 1 per 1000
• Normal ICDs: 10 per 1,000
• Ligation: 4 per 1000
• Oral contraceptive pills: 20 per 1,000
• Depo injections: 10-15 per 1,000
Are you fit to use IUD?
While the IUD may seem like a very convenient and uncomplicated birth control method, it is not without its side effects, and not all women are suitable for using it.
1. Absolute contraindications (those who absolutely should not use IUDs):
• Known or suspected pregnancy
• Active pelvic infection (including known or suspected gonorrhea or chlamydia infections)
• Genital bleeding that has not yet been diagnosed
• Genital cancers
2. Relative contraindications (those who should preferably not use an IUD):
• Those at higher risk for STDs (eg, those with multiple sexual partners, or those whose partner has multiple sexual partners)
• Recent or recurring pelvic infections
• Single pelvic infection, in women who wish to become pregnant later
• Decreased immunity, such as due to diabetes, AIDS, etc.
• Menstrual bleeding of unknown cause
• History of ectopic pregnancy
• Presence of conditions that predispose to ectopic pregnancy
• Endometriosis
• Endometrial polyps
• Uterine fibers
• anemia
What are the PPossible complications?
Women using IUDs may experience some side effects and possible complications. Here are some of the ones you should be aware of:
• Increased menstrual bleeding: many women experience a slightly longer and heavier period.
• Painful periods: Menstrual pain usually increases in the first few cycles and then improves later.
• Intermenstrual spotting: light spotting between periods is quite common with IUDs, regardless of type.
• Pelvic infections: IUDs increase the risk of pelvic infections, especially in the first few months. See your doctor right away if you have any signs of a pelvic infection (increased vaginal discharge, pain in the lower abdomen, along with a fever).
• The pregnancy: As with all birth control methods, there is a failure rate. If you have an IUD in place and become pregnant, see your doctor to have the IUD removed immediately (there is a 20% risk of miscarriage when the IUD is removed, but if it is not removed, the risk of miscarriage is about 50% %). .
• Ectopic pregnancy
• Expulsion from the CDIS
• Serious complications immediately after ICD insertion: vasovagal reaction and perforation of the uterus.
