Intrauterine Devices: By: Widi Cahya Utami Mentor

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Intrauterine Devices

BY : WIDI CAHYA UTAMI


MENTOR : DR. RULLY P. ADHIE, SP.OG
IUD’s
There are many types of IUDs exist, the most
efficacious include the T-Cu 380A
T-Cu 380A which has a T-shaped frame with
380 mm2 of copper.
Mechanism of Action
Its thought that the chronic sterile foreign body
reaction in the endometrial cavity elicited by
these devices affects sperm survival, capacitation
or motility, and as a consequence fertilization
does not take place. In addition, copper is known
to be sperm-toxic.
Indications:

Reproductive age
Multiparous
long-term contraception
Does not want a hormonal method.
Doesnt like to remember to take a pill
every day .
Contraindications are:

• pregnant.
• Unknown vaginal bleeding
• Cancer
• Not suffering infection of genitalia
(Vaginitis)
Advantages of IUDs

• Can stay for up to 10 years


• IUDs Contraception is high effectivity.
• Very effective because no longer need to remember.
• Increase sexual confortable because it dosen’t need
to be afraid to be pregnant.
• Generally it need once framing
Side Effects
•Increased menstrual bleeding and pain
•Expulsion
Innitiations
•IUDs may be inserted in adolescent women at any time within
the first 12 days after the start of menstrual bleeding.
•It can also be inserted at any other time during the menstrual
cycle as long as the provider is reasonably sure that the
adolescent is not pregnant.
•IUDs may also be inserted postpartum, post-caesarean section
and post-abortion under the same conditions as for adult
women.
Counselling
•comprehension, personal acknowledgement, and commitment
•Side-effects
•information on how to access removal.
Follow up
A follow-up visit is recommended after the first menses
or 3–6 weeks following insertion and then every 6
months.
Source
Department of Child and Adolescent Health and Development World Health Organization.
Contraceptions. Geneva: WHO Library, 2014

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