Monday, 16 November 2015

Intrauterine device

Intrauterine device

Advantages:

  • It is in place for approximately 5 years
  • It is inexpensive in the long term. The real cost of the levonorgestrel IUCD to the PBS is $246.41. The PBS covers most of the cost so that the user pays only $ 33.30
  • Partners cannot usually feel it 
  • It has an antiseptic as well as contraceptive effect
  • It can be easily removed on request
Disadvantages
  •  It is invasive and requires insertion 
  •  It can fall out
  •  It may be a conduit to infection (however, this not supported by research)
  •  There is an increased risk of ectopic pregnancy
  •  There is a risk of uterine perforation at insertion 
  •  There is a risk of pregnancy, approximately 1-2 pregnancies per 100 women using it
  •  Menorrhagia can occur (although reduced menstrual flow usually occurs with the levonorgestrel IUCD and this is used to treat menorrhagia) 
  •  If pregnancy occurs, the IUCD should be removed in the first trimester but that carries a risk of miscarriage, however, leaving removal the second trimester increases the risk of sepsis and premature labour. 


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