Intrauterine contraception
Published Date: 05th July 2021
Publication Authors: Phelan N
Abstract
Key content
- An intrauterine device (IUD), also known as intrauterine contraceptive device (IUCD) or intrauterine contraception (IUC) offers reliable long-acting reversible contraception; however, some patients can be hesitant to choose this option because of misconceptions about side effects and perceived complications. A comprehensive knowledge of IUC is required to allow adequate counselling and to dispel myths.
- There are many different methods of IUC, including four different levonorgestrel-containing intrauterine systems (LNG-IUS) and multiple different copper intrauterine devices, with different insertion techniques.
- Considering contraception is important at several life stages, including post-delivery, post-termination of pregnancy and around the menopause; these will require different counselling.
- The use of IUC can have noncontraceptive benefits, including relief of heavy menstrual bleeding, management of menopause and premenstrual syndrome and reducing gynaecological cancer risk.
Learning objectives
- To learn the different types of IUC, including the different indications and possible complications.
- To understand the noncontraceptive benefits of IUC.
- To understand the challenges faced when a patient is hesitant to consider IUC.
Ritchie, J; Phelan, N; Briggs, P. (2021). Intrauterine contraception. Obestetrician and Gynaecologist. 23 (3), 187-195
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