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When the IUD is a good contraceptive option?

When the IUD is a good contraceptive option?

The IUD is one of the safest and most effective methods of contraception available. IUDs are? Devices?

The medicated IUD can also be used as a treatment and control of some health conditions such as myoma, endometriosis, adenomyosis, heavy menstruation, and inflammation of the lining of the uterus. in menopause to supplement hormone replacement.

There are several explanations for the mechanism of action of the IUD. The most accepted are that a foreign body reaction occurs inside the uterine cavity that is potentiated by copper. This reaction prevents pregnancy in two ways: one by hindering the passage of sperm through the cervix and uterine cavity (fertilization occurs in the fallopian tubes); and the other is that if fertilization occurs, the fertilized egg can not implant or even a toxic effect directly on the egg.

The medicated IUD releases a hormone (levonorgestrel), which atrophies the tissue of lining of the uterine cavity. This atrophy prevents sperm from reaching the fallopian tubes (much more effectively than the copper IUD) and, if fertilization occurs, it can not attach to the uterine cavity. This effect decreases the amount of menstrual bleeding, and may even occur without menstruation in more than 40% of the users, in addition to slowing the colic and having a greater contraceptive effect. The copper IUD increases bleeding by about 50%. It lasts longer than ten years, and the drug can last up to five years. In addition to contraception, the medicated IUD can be used to treat and control some health conditions such as myoma, endometriosis, adenomyosis (endometriosis in the thickness of the uterine wall) and heavy menses. It can also be used at menopause to supplement hormone replacement.

The amount of hormone released into the bloodstream by this IUD is around two progesterone-based contraceptive pills per month. It can be used by teenagers or women who do not get pregnant. Along with implants, male sterilization (vasectomy) and female (tincture) the risk of a patient becoming pregnant, is very small, about one case in 500 women in use per year.

IUDs are great options for anyone who wants a long-term reversible method and can not or can not use pills because of reactions and / or interactions with hormones such as thrombosis, medications anticonvulsants, certain types of hormone-dependent cancers.

Contraindications for IUD use are: abnormalities of the uterus (very small or very large), gynecological infections, certain cancers, unexplained bleeding, and pregnancy. We prefer to insert the IUD during menstruation, and the patient should be tested before putting it on. The medicated IUD has a greater protection for STDs because of the association with progesterone, but it does not exclude other methods of protection, such as condoms.

Placement and withdrawal procedures are the same, in outpatient clinics, even in hospitals, when anesthesia is needed. We aim to assess the position of the IUD with routine ultrasound, as it is possible to leave the site, migrate and lose its contraceptive efficacy.

But which IUD to choose? This should be discussed with the doctor or specialist so that the patient is assured of their choice. Like all contraceptive methods, the IUD should be evaluated and followed up by a professional so that the woman is confident about the method and can have a good quality of life.


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