New developments in intrauterine device use: focus on the US

Abstract

Many more women in the US today rely upon intrauterine devices (IUDs) than in the past. This increased utilization may have substantially contributed to the decline in the percentage of unintended pregnancies in the US. Evidence-based practices have increased the number of women who are medically eligible for IUDs and have enabled more rapid access to the methods. Many women enjoy freedom to use IUDs without cost, but for many the impact of the Affordable Care Act has yet to be realized. Currently, there are three hormonal IUDs and one copper IUD available in the US. Each IUD is extremely effective, convenient, and safe. The newer IUDs have been tested in populations not usually included in clinical trials and provide reassuring answers to older concerns about IUD use in these women, including information about expulsion, infection, and discontinuation. On the other hand, larger surveillance studies have provided new estimates about the risks of complications such as perforation, especially in postpartum and breastfeeding women. This article summarizes significant features of each IUD and provides a summary of the differences to aid clinicians in the US and other countries in advising women about IUD choices.

Far‐migration of an intrauterine device in the intrathoracic cavity: A rare case report

“…Some complications such as lower abdominal pain, uterus perforation, vaginal bleeding, and vagal reaction were occurred after the IUD placement. Moreover, delayed complications include menometrorrhagia, dysmenorrhea, IUD expulsion, ectopic pregnancy, pelvic infections, and IUD migration 9 . IUDs typically migrate to the adnexa, appendix, bladder, colon, peritoneum, omentum, rectosigmoid, small bowel, and iliac vein 2 .…”

A 47-Year-Old Woman with Gastric Transmigration of an Intrauterine Contraceptive Device Managed by Laparoscopic Wedge Gastric Resection

“…In addition, this method is taking the lead among all other contraceptive methods, making it the most common reversible contraceptive method [ 2 , 3 ]. IUCD use contributed to reducing the risk of unintended pregnancies, especially in the postpartum period, making it the most appropriate time for insertion of the device [ 4 , 5 ], and this was the main reason behind the huge percentages of women using it. There are many advantages to using an IUCD: it is inexpensive method, reversible, long-lasting, very functional, and effective [ 3 ].…”

The Safety And Efficacy of Implanon Implant in A Sample of Iraqi Women: A Cohort Study

“…Non hormonal methods included male condom, female condom 11 , copper coils 12 , diaphragms 13 , chemical creams, gel or suppositories 14 and natural control methods 15 . The intrauterine device (IUD) is on top of the list of contraceptive methods used worldwide and it is estimated to be used by more than 168 million women globally 16 . Recently in the United States, IUD gains wide acceptance by women within all ages and parities as an efficient method of avoided unintended pregnancy 17 .…”