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[Intrauterine contraception. Risks, indications, trends]

P F Tauber

    Fortschritte Der Medizin
    |May 20, 1982
    PubMed
    Summary
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    Intrauterine devices (IUDs) are a common contraception method for women in Germany. While effective, IUDs carry risks including uterine perforation, bleeding, infection, and ectopic pregnancy, necessitating careful consideration before use.

    Area of Science:

    • Reproductive Health
    • Contraception
    • Gynecology

    Context:

    • Approximately 1 million fertile women in Germany utilize intrauterine contraception.
    • Intrauterine devices (IUDs) are a significant method of reversible contraception.
    • Understanding IUDs is crucial for reproductive health management.

    Purpose:

    • To review the mechanisms of action for intrauterine contraception.
    • To outline the primary risks associated with IUD use.
    • To discuss pregnancy complications and fertility after IUD removal.

    Summary:

    • IUDs function by impairing sperm activity, altering endometrial epithelium, and inhibiting blastocyst implantation.
    • Key risks include uterine perforation during insertion, irregular bleeding, ascending infections, and ectopic pregnancies.
    Keywords:
    BleedingContraceptionContraception TerminationContraceptive Methods--complicationsContraceptive Mode Of ActionDeveloped CountriesEuropeFamily PlanningGermany, Federal Republic OfInfectionsIud--complicationsPregnancy, EctopicReversibilitySperm TransportUterine PerforationWestern Europe

    Related Experiment Videos

  • Pregnancy with an IUD in situ occurs in 2-4% of cases, often leading to high abortion rates and potential septic complications.

    • Impact:

    • Fertility generally returns to normal post-IUD removal, except in cases of inflammatory complications.
    • The decision to use an IUD requires careful consideration of benefits and risks.
    • Formal informed consent is advisable for IUD application to ensure patient understanding.