INTRAUTERINE DEVICE
INTRAUTERINE DEVICE (IUD)
(IUD - Copper T or Levonorgestrel - also known as "Mirena")
(Based on “A Pocket Guide to Managing Contraception, 2007-2009”)
Effectiveness: 98.5–99.4% with perfect use; 98–99.2% with typical use
Mechanism: IUD acts by preventing pregnancy. Copper T provides 10 years or more of protection, Mirena provides 5 years of protection
Advantages/Benefits:
• Rapid return to fertility
• Good option for women unable to use a hormonal method
• Risk for an ectopic ("tubal") pregnancy is greatly decreased
• Highest rate of user satisfaction (95%)
• May be used by breastfeeding women
• May be inserted immediately after delivery of a baby
• Some evidence that provides some protection against uterine cancer and cervical cancer
• Decreases menstrual cramping and greatly decreases menstrual blood loss (Some women report no periods after one year)
Disadvantages/Risks
• Changes in period, may see more bleeding days than usual at first and then less after 6-8 months
• May experience cramping, pain or spotting after insertion
• No protection against sexually transmitted diseases (STDs) or HIV/AIDS. Use a condom if at risk.
• Must be inserted by a health care provider
• Do not use Copper T in women with copper allergies (rare)
• Some increased risk of infection for the first 20 days after insertion (1/1,000)
• Women with a recent history (within 3 months) of pelvic inflammatory disease should delay insertion
• May fall out, thus putting the woman at risk for an unintended pregnancy
• Uterine perforation (1/1,000), pregnancy (from poor placement), ovarian cysts
• Headaches, acne, breast pain (first few months)
Instructions:
• Review this sheet carefully and report any questions or concerns to your health care provider
• Check for strings at least every month
FPEM 10
Revised 11/07
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