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(IUDs)
Progestin-releasing:
$ Progestasert7
$ LevoNova7 (LNG-20)
$ Mirena7
Interfere with
reproductive process
before ova reach
uterine cavity
Change
endometrial
lining
Effective immediately
Trussell et al 1998.
IUDs: Limitations
!
10
11
12
13
14
15
16
(2)
Withdraw
inserter tube
(1)
Hold
plunger
17
18
Missing strings
Spontaneous expulsion
Ectopic pregnancy
Spontaneous abortion
19
Cost effective
20
Inexperienced
Practitioners
Experienced
Practitioners
12
18
24
30
36
21
The IUD can come out of the uterus spontaneously, especially during the first few months.
The IUD may be removed any time you wish. However, it is safe and effective for (x number of years) when using the (type of
IUD).
22
During the first month after insertion, check the strings several
times, particularly after your menstrual period.
23
24
25
If no other cause(s) found, treat with nonsteroidal antiinflammatory agent (NSAID, such as ibuprofen) for 5B7 days.
26
27
28
29
Menopause
30
31