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Related Concept Videos

Intrauterine Drug Delivery Systems01:21

Intrauterine Drug Delivery Systems

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Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
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Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
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In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
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Uterine Tubes01:16

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The uterine or fallopian tubes function as the conduit through which oocytes travel from the ovaries to the uterus. Each fallopian tube measures approximately 10 to 13 cm long and is anatomically divided into the infundibulum, ampulla, isthmus, and interstitial part (or intramural segment). The infundibulum is characterized by its funnel shape and features extensions called fimbriae which reach towards the peritoneal cavity. These fimbriae play a critical role during ovulation as they extend...
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Ovarian Cycle

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The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...
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The uterus, commonly called the womb, is a vital reproductive organ in females designed to provide a nurturing environment for the implantation and growth of an embryo. It is shaped like a hollow pear and positioned between the urinary bladder and the rectum. The uterus's structure allows it to support and protect a developing fetus throughout pregnancy.
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Intrauterine Telemetry to Measure Mouse Contractile Pressure In Vivo
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Intrauterine contraception.

Natalie S Whaley1, Anne E Burke2

  • 1Department of Obsetrics & Gynecology, University of Rochester School of Medicine, 601 Elmwood Avenue, Box 668, Rochester, NY 14642, USA.

Women'S Health (London, England)
|December 3, 2015
PubMed
Summary
This summary is machine-generated.

Intrauterine devices (IUDs) are highly effective, reversible contraception options suitable for most women. Improving insurance coverage and access can increase IUD utilization in the USA.

Keywords:
Mirena IUDcopper IUDintrauterine devicelong-acting reversible contraceptionmedical eligibility criteriamenorrhagianoncontraceptive benefitpostabortion IUD insertionpostplacental IUD insertionuterine perforation

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Area of Science:

  • Reproductive Health
  • Contraception Technology
  • Public Health Policy

Background:

  • Intrauterine devices (IUDs) are recognized for high patient satisfaction and continuation rates.
  • They represent an effective, reversible contraceptive method with broad applicability.
  • IUDs are currently underutilized in the USA.

Purpose of the Study:

  • To review clinical issues related to IUDs, including side effect management, noncontraceptive applications, and procedural aspects.
  • To highlight the impact of cost and insurance coverage on IUD selection and access.
  • To advocate for increased availability and accessibility of long-acting reversible contraception (LARC).

Main Methods:

  • Descriptive review of clinical literature and health policy implications.
  • Analysis of factors influencing patient choice and provider recommendations.
  • Examination of barriers to IUD adoption.

Main Results:

  • IUDs are safe and effective for most women and should be considered a first-line contraceptive.
  • Reduced cost and improved insurance coverage significantly increase IUD selection.
  • Addressing cost and access barriers is crucial for optimizing IUD use.

Conclusions:

  • IUDs are a valuable, underutilized contraceptive method in the USA.
  • Health policy interventions, particularly enhanced insurance coverage, are essential for improving access.
  • Efforts to increase the availability and accessibility of IUDs are needed to optimize their use as a primary contraceptive option.