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[Intrauterine contraception: CNGOF Contraception Guidelines].

F Vidal1, L Paret1, T Linet2

  • 1Pôle Femme Mère Couple, hôpital Paule-de-Viguier, CHU Purpan, 330, avenue de Grande-Bretagne, 31059 Toulouse, France; Université Toulouse III, 118, route de Narbonne, 31062 Toulouse, France.

Gynecologie, Obstetrique, Fertilite & Senologie
|November 16, 2018
PubMed
Summary

Intrauterine contraception (IUC) is a safe and effective long-acting reversible method suitable for most women. Guidelines recommend specific screening and management protocols for IUC users, emphasizing low complication rates.

Keywords:
ContraceptionDispositif intra-utérinFrançaisFrenchGuidelinesIntrauterine deviceRecommandations

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Area of Science:

  • Reproductive Health
  • Contraception
  • Gynecology

Background:

  • Intrauterine contraception (IUC) offers high efficacy and continuation rates.
  • Complication rates associated with IUC are low.
  • IUC is suitable for both nulliparous and multiparous women.

Purpose of the Study:

  • To establish national clinical guidelines for intrauterine contraception.
  • To synthesize evidence on IUC indications, insertion, management, and complications.

Main Methods:

  • Systematic literature review of Pubmed and Cochrane databases.
  • Inclusion of American, British, and Canadian clinical guidelines.
  • Evidence grading based on established criteria.

Main Results:

  • IUC has broad indications, including adolescents and women with HIV.
  • Routine STI screening before IUC insertion is not mandatory.
  • Antibiotic prophylaxis and routine post-insertion ultrasounds are not recommended.
  • Management protocols for bleeding, perforation, pregnancy, and infections are detailed.

Conclusions:

  • Intrauterine contraception is a highly effective, reversible method with low complication rates.
  • Guidelines support the widespread use of IUC in diverse populations.
  • Specific protocols enhance the safe and effective use of IUC.