Unintended pregnancy, endemic in the United States Expulsion rates appear to be lower with postplacental (within (US), carries significant health and economic consequences and disproportionately affects poor women and women of color [1,2]. Rapid repeat pregnancy—defined as a pregnancy within 12 to 18 months after delivery—can occur if women are unsuccessful at initiating contraception [3]. Impr...

OBJECTIVE An ex vivo study found a copper-containing intrauterine device (IUD) to be safe for women undergoing an MRI examination at a 3.0-T field. No significant artifacts caused by the metallic implant were detected. However, there are still no in vivo data about these concerns. The aim of this study was to evaluate 3.0-T magnetic field interactions of copper-containing IUDs in vivo. MATERI...

Volume 83, Number 1 www.aafp.org/afp American Family Physician 35 Clinical Scenario A 19-year-old nulliparous woman comes to the office to discuss contraceptive options. She previously used depot medroxyprogesterone acetate (Depo-Provera) but was bothered by the weight gain and spotting she attributed to the medication. She would like to know whether the copper intrauterine device (IUD) might b...

17 Sparks RA. Problems with IUCD tails. Br MedJl 1977;ii:1351-2. "I Cohen L, Thomas G. Copper versus the gonococcus in vivo. Br3J Vener Dis 1974;50:364-6. 19 Martindale W. In: Wade A, ed. The extra pharmacopoeia. 27th edn. London: The Pharmaceutical Press, 1977:893-6. 20 Buckingham MS, Sparks RA, Watt PJ, Elstein M. Pelvic infection and intrauterine devices. Br MedJ7 1976;ii:942-3. 21 Bevan AD....

BACKGROUND The purpose of this study was to provide additional data on the experience with frameless copper and levonorgestrel (LNG) intrauterine devices (IUDs) in nulliparous and adolescent women. METHODS Nulliparous and adolescent women, 25 years of age or younger, using the frameless copper IUD or the frameless LNG-releasing intrauterine system (IUS), were selected from previous studies an...

There is a considerable cost differential between copper intrauterine devices (IUDs) and the levonorgestrel-releasing intrauterine system (LNG IUS) in the UK. Most contraceptive services face financial stringency and it is increasingly important to deliver cost-effective care whilst still offering patient choice. Although all long-acting reversible methods of contraception are cost effective, t...

STUDY QUESTIONS What are the symptoms of uterine perforation caused by modern copper intrauterine devices (Cu-IUDs) and the levonorgestrel-releasing intrauterine system (LNG-IUS); how is perforation detected and what are the findings in abdominal surgery? SUMMARY ANSWER Symptoms are mostly mild and ∼30% of women are asymptomatic. Surgical findings are mainly minimal; no visceral complications...

Background: Intrauterine contraceptive device (IUCD) is the most commonly used method of contraception in many countries. Despite the availability of many generations of IUDs with variable shapes and configurations, side effects and complications are frequent. We hypothesize that a modified IUD design with a fundal seeking effect will nullify the side effects and the complications of the curren...