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[Postcoital IUD insertion, a review].

M R van Santen, A A Haspels

    Geburtshilfe Und Frauenheilkunde
    |April 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Post-coital intrauterine devices offer effective emergency contraception up to five days after intercourse, avoiding hormonal side effects. However, careful screening is needed due to risks of infection and potential infertility, especially in young, nulliparous women.

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    Area of Science:

    • Reproductive Health
    • Contraception
    • Emergency Contraception

    Background:

    • Hormonal emergency contraception, like ethinylestradiol and norgesterol, is effective but causes significant nausea and vomiting.
    • The post-coital insertion of an intrauterine contraceptive device (IUD) offers an alternative emergency contraception method.

    Purpose of the Study:

    • To evaluate the efficacy and risks of post-coital IUD insertion as an emergency contraception method.
    • To compare IUDs with hormonal methods regarding effectiveness and side effects.

    Main Methods:

    • Review of post-coital IUD insertion as an emergency contraceptive.
    • Comparison of IUD effectiveness and side effect profiles with hormonal methods.
    • Identification of patient selection criteria and contraindications for post-coital IUD use.

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    Main Results:

    • Post-coital IUDs are effective for up to five days post-intercourse, extending the window compared to hormonal methods.
    • IUDs avoid the nausea and vomiting associated with high-dose estrogen or combined hormonal regimens.
    • Potential risks include serious complications with undetected vaginal or venereal infections, cervicitis, or salpingitis.

    Conclusions:

    • Post-coital IUD insertion is a highly effective emergency contraceptive method with a longer efficacy window than hormonal options.
    • Careful patient selection is crucial to mitigate risks of infection and serious complications.
    • The risk of future infertility due to salpingitis is a significant concern, particularly for young, nulliparous women.