Many more women in the US today rely upon intrauterine devices (IUDs) than in the past. This increased utilization may have substantially contributed to the decline in the percentage of unintended pregnancies in the US. Evidence-based practices have increased the number of women who are medically eligible for IUDs and have enabled more rapid access to the methods. Many women enjoy freedom to us...

OBJECTIVE To estimate whether 6-month use of the levonorgestrel-releasing intrauterine device (IUD) would be higher when insertion occurred within 10 minutes of placental delivery compared with 6-8 weeks postpartum. METHODS We enrolled pregnant women planning vaginal deliveries and desiring a postpartum levonorgestrel-releasing IUD. Patients were randomly assigned when admitted in labor to po...

The use of national, multicenter data for IUD assessment is necessar y as they are more representative than those from any single-center study. The Family Planning Research Unit at Exeter University compiled results on the Dalkon Shield from 10-12 centers. The results for 1 year up to September 1972 showed: pregnancy rate 3.8%; expulsion rate 3.9%; and bleeding/pain removal rate 4.6%. The ra...

PRESENT understanding of human female reproductive physiology has largely been derived from the results of animal experimentation, and particularly from studies on the rhesus monkey. This is also true of our present knowledge of the possible modes of action of an intra-uterine device (IUD). Recent studies in the rhesus monkey have shown that an intra-uterine device is contraceptive in this spec...

The physiological changes that occur during pregnancy can be deleterious to women with a cardiovascular condition. Evidence-based contraceptive counseling and provision is essential in this patient population. Although long-acting reversible contraception (LARCs), which include the intrauterine device (IUD) and the etonogestrel contraceptive implant, have been found to be safe and effective in ...

The intrauterine device (IUD) is the most frequently used reversible family planning method in the world. The earlier IUDs made of inert plastic materials have largely been superseded in modern medical practice by improved designs which release copper or levonorgestrel (LNG-IUS). These modifications considerably enhanced the efficacy of the IUD. However, the modern copper IUDs in their differen...

Contraceptive choice in the 1st 1075 acceptors at an urban clinic in Lagos, Nigeria is studied using clinical notes of all patients who attended the clinic between September 1, 1980 and August 31, 1983. Details of previous and current contraception, age, parity and level of education are analyzed. The IUD was the most popular choice followed by the injectable contraceptive and the pill. Inte...

Objective: The intrauterine device (IUD) is an important long-acting reversible contraceptive method (LARC) which plays a major role in contraception. Expulsion and intolerance because of pain and/or bleeding are two factors which limit more widespread use. IUDs have to form some type of ‘anchor’, which must be well tolerated in order not to be expelled and not cause problems as might any other...

A total of 1245 women had a copper 7 intrauterine contraceptive device (IUD) inserted in 1971-3 were followed up for three years (22 761-5 women months of use). After 24 months 483 women elected to continue with the same copper 7 (continuation group), and 183 had their copper 7 replaced with a new one (replacement group). The subsequent pregnancy and expulsion rates were both significantly lowe...