The IUD: dispelling the myths and assessing the potential.

摘要: PIP: While the IUD is most widely used method of reversible contraception throughout rest world, it by only 1% women in US. Misperceptions that inhibit use US include 1) belief device works as an abortifacient when, fact, mechanism action copper releasing IUDs contraceptive; 2) all increase risk pelvic infection Dalkon shield associated with increased because its multifilament tail allowed bacteria to ascend into uterine cavity; 3) association usage ectopic pregnancy despite evidence copper-bearing actually reduce pregnancy; and 4) fears prescribers their legal liability although these can be allayed reviewing product information users, obtaining informed consent use, documenting provision detailed postinsertion instructions. Both copper-releasing progesterone-containing provide effective very low rates. Complications expulsions, which occur frequently first 3 months are young age women, immediate postpartum insertion, nulliparity, skill clinician. Uterine perforation upon insertion extremely rare, depends clinician skill. Risk spontaneous abortion increases if left place during pregnancy. The main reason for discontinuation menstrual bleeding pain progesterone reduced blood loss. Discontinuation accompanied a rapid return fertility. After screening candidates factors, at any time long ruled out (with recommended after 4 weeks). Users should receive instructions about how check expulsion. good longterm alternative sterilization.