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Clinical experience with today's IUDs

S Pasquale1

  • 1Department of Ob/Gyn and Reproductive Sciences, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick 08901-1977, USA.

Obstetrical & Gynecological Survey
|December 1, 1996
PubMed
Summary

Intrauterine devices (IUDs) offer safe and effective contraception. Copper IUDs are highly cost-effective, long-lasting, and protect against ectopic pregnancy with a rapid return to fertility.

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Area of Science:

  • Reproductive Health
  • Contraception
  • Gynecology

Background:

  • Intrauterine devices (IUDs) are a widely used method of reversible contraception.
  • Different types of IUDs, such as progesterone-releasing and copper-releasing systems, offer distinct benefits and durations of use.

Purpose of the Study:

  • To evaluate the safety, efficacy, and cost-effectiveness of intrauterine devices (IUDs) as a contraceptive method.
  • To compare the characteristics of progesterone-containing and copper-containing IUDs.

Main Methods:

  • Review of existing literature and data on IUD safety, efficacy, and patient outcomes.
  • Analysis of cost-effectiveness data for various contraceptive methods in the U.S.

Main Results:

Keywords:
AmericasContraceptionContraceptive MethodsDeveloped CountriesFamily PlanningHealthIudIud, Copper ReleasingIud, Hormone ReleasingLiterature ReviewNorth AmericaNorthern AmericaPublic HealthSafetyUnited States

Related Experiment Videos

  • IUDs demonstrate high safety and effectiveness with low rates of adverse events and no systemic metabolic effects.
  • Copper IUDs are effective for up to 10 years, offer protection against ectopic pregnancy, and are the most cost-effective method when used for at least 18 months.
  • Return to fertility is rapid after IUD removal, comparable to oral contraceptives, and IUD use does not increase the risk of congenital abnormalities if pregnancy occurs.
  • Conclusions:

    • Intrauterine devices are a safe, effective, and cost-effective long-term contraceptive option.
    • Copper IUDs provide extended protection and economic benefits, while progesterone IUDs offer benefits like reduced menstrual bleeding.
    • IUDs have a low risk of pelvic inflammatory disease when inserted in appropriate candidates and do not pose risks to fetal development in case of pregnancy.