Today's intrauterine devices (IUDs) offer safe and reversible long-term contraception, requiring little effort on the part of users once they are inserted. However, while popular in some countries, IUDs are not widely used in other countries because of reluctance among users and health providers, or a lack of supplies and trained staff.
In this issue
Copper T IUD: Safe, Effective, Reversible
Fears about side effects, concerns about infection and infertility, lack of technical training for providers, and the time and cost involved in providing services discourage the use of IUDs in some countries.
Pakistan's Green Star Trains "Lady Doctors" and Others
Since 1995, the Green Star Network in Pakistan has trained more than 1,600 female physicians to insert IUDs.
IUD Mechanism Affects Sperm
IUDs prevent fertilization primarily by interfering with the ability of sperm to survive and ascend the fallopian tubes, where fertilization occurs.
The Copper IUD
Worldwide, an estimated 128 million women use IUDs. The most popular device in many countries is the Copper T 380A.
IUD Not Recommended for Increased STD Risk
IUDs are contraindicated or considered undesirable for women at risk of sexually transmitted diseases, including HIV, or women already infected. Recent research, however, suggests some at risk may be appropriate users. The use of Antibiotics Before Insertion is discussed in a related article.
Contraceptive Update: Levonorgestrel System Offers Several Benefits
The levonorgestrel intrauterine system, which delivers a progestin directly into the uterus, offers highly effective contraception and other benefits, including Use in Hormone Replacement Therapy. A related article, Hormonal Device Available in Some Countries, lists countries where the system is currently available.
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