Extended use of the intrauterine device: a literature review and recommendations for clinical practice

Wu, Justine; Pickle, Sarah

doi:10.1016/j.contraception.2014.02.011

Cited by 98 publications

(58 citation statements)

References 42 publications

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“…It is a safe, highly effective method with extremely low failure rates similar to those observed in female surgical sterilization (0.5%) (2)(3)(4) . It is the most widely used reversible method on the planet (1,5) but remains underutilized in some regions of the world (North America, South Asia, Oceania, sub-Saharan Africa (6)(7) and Latin America) (8) .…”

Section: Introductionmentioning

confidence: 99%

Barreiras organizacionais para disponibilização e inserção do dispositivo intrauterino nos serviços de atenção básica à saúde

Gonzaga

Borges

Santos

et al. 2017

Rev. esc. enferm. USP

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Objective: To identify organizational barriers to IUD availability in Primary HealthCare services from the perspective of women's health coordinators. Method: This is a quantitative study carried out with women's health officials from the municipalities of the southern macro region of Minas Gerais, Brazil, with an on-line completion of a structured instrument and a descriptive data analysis. Results: 79 technicians participated in the study. Among the municipalities, 15.2% do not provide IUDs and 8.3% do not refer women to other services, 53.7% do not provide IUDs at basic health units. Among those who provide the IUD, 68.7% do not have a specific protocol and 10.5% do not adopt pregnancy as a condition that makes it impossible to insert the IUD, and 80.6% adopt unnecessary conditions, such as vaginal infection. As a criterion for IUD access, 86.5% referred to a medical prescription, 71.6% required exams, 44.6% were over 18 years of age and 24.4% participation in groups, none based on scientific evidence. Only the doctor inserted the IUD. Conclusion: Problems in the access to the IUD were identified due to organizational barriers to its availability and insertion, such as the lack of availability of the method or the excess of unnecessary criteria to make it available.

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Section: Introductionmentioning

confidence: 99%

Barreiras organizacionais para disponibilização e inserção do dispositivo intrauterino nos serviços de atenção básica à saúde

Gonzaga

Borges

Santos

et al. 2017

Rev. esc. enferm. USP

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“…Как метод персонифицированной контрацепции ЛНГ-ВМС подбирается индивидуально для каждой пациентки. При использовании ЛНГ-ВМС в пери-менопаузальном периоде необходимо учитывать на-личие сопутствующих соматических и гинекологи-ческих заболеваний [22][23][24][25].…”

Section: Modern Approaches To Contraception For Women In Perimenopausunclassified

Modern approaches to contraception for women in perimenopausal period (literature review)

Pestrikova¹,

Yurasova²,

Yurasov³

2016

Probl. reprod.

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Перименопаузальный период -период жизни женщины, характеризующийся естественным воз-растным угасанием функций половой системы. Включает переходный период, менопаузу и 2 года постменопаузального периода [1].Выбор контрацепции в возрасте старше 45 лет, т.е. в так называемом «переходном» периоде, пред-ставляет нередко весьма сложную задачу в силу осо-бенностей этого возрастного периода, связанного с неизбежными процессами постепенного угасания функции яичников, наличием ряда гинекологиче-ских и экстрагенитальных заболеваний, появлением вегетососудистых и других ранних симптомов кли-мактерия. Несмотря на то что в этом возрастном пе-риоде фертильность снижается, случаи рождения детей у женщин старше 45 лет не так уж и редки. По

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“…7 Levonorgestrel intra uterine system (LNG IUS) with a lower dose of 13.5 mg is marketed for use in nulliparous women and adolescents because of its smaller size and narrower inserter, side effects are oligomenorrhoea and even amenorrhoea. 8 Copper IUDs can even be resorted to as an emergency contraceptive method within 120 hours of unprotected intercourse. 9 Depot medroxy progesterone acetate (DMPA) is MEC category 2 1 due to its variable effect of decreasing bone mineral density.…”

Section: Choice Of Contraception For Adolescentsmentioning

confidence: 99%

Contraception at extremes of ages, adolescents and special situations

Nautiyal

Goyal

2016

Int J Reprod Contracept Obstet Gynecol

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Extended use of the intrauterine device: a literature review and recommendations for clinical practice

Cited by 98 publications

References 42 publications

Barreiras organizacionais para disponibilização e inserção do dispositivo intrauterino nos serviços de atenção básica à saúde

Barreiras organizacionais para disponibilização e inserção do dispositivo intrauterino nos serviços de atenção básica à saúde

Modern approaches to contraception for women in perimenopausal period (literature review)

Contraception at extremes of ages, adolescents and special situations

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