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British Medical Bulletin 49:100-123 (1993)
© 1993 The British Council

research-article

Intrauterine contraceptive devices—A reappraisal

D R Bromham

Academic Unit of Obstetrics and Gynaecology, St James's University Hospital Leeds, UK

Abstract

The intrauterine contraceptive device (IUD) is a highly effective and safe form of reversible contraception. It does not cause pelvic inflammatory disease, ectopic pregnancy or infertility; it could be used by most nulligravidae; in its latest form it can be used to treat excessive menstrual loss, and it acts by preventing fertilisation not implantation.

These statements contrast sharply with many of our long-standing prejudices about the method.

New lUDs contribute to this change in perception. Nevertheless, patient selection, limiting use to mutually monogamous relationships, care with fitting and access to expert help with problems (including rare failure pregnancies and removal difficulties) are all required to maintain the acceptability and usefulness of this method.


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This article has been cited by other articles:


Home page
 Asia Pac J Public HealthHome page
T. Wu and G. Buck
Side Effects and Discontinuation Rates of Intrauterine Contraceptive Device Use in the Jilin Province of China
Asia Pac J Public Health, January 1, 1998; 10(1): 33 - 38.
[Abstract] [PDF]


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