LONG

ACTING -
IUD
(Intra Uterine Device)
GROUP - 4
 INTRA UTERINE DEVICE
Long
Acting INTRODUCTION

-An intrauterine device (IUD), also

known as intrauterine contraceptive
device (IUCD or ICD) or coil, is a small,
often T-shaped birth control device
that is inserted into the uterus to
prevent pregnancy. IUDs are one form
of long-acting reversible birth control
(LARC)
 TYPES OF INTRAUTERINE DEVICE
(IUD)

Nonhormonal: Copper-containing IUD (ParaGard)

Intrauterine device (IUD) with copper, also

known as intrauterine coil, is a type of
intrauterine device which contains copper. It
is used for birth control and emergency
contraception within five days of unprotected
sex.
The device is placed in the uterus and lasts
up to twelve years.
TYPES OF INTRAUTERINE DEVICE
(IUD)

Hormonal: Progestogen-releasing IUD

(Mirena)

Intrauterine system (IUS) with progestogen,

sold under the brand name Mirena among
others, is an intrauterine device that
releases the hormone levonorgestrel into
the uterus. It is used for birth control,
heavy menstrual periods, and to prevent
excessive build of the lining of the uterus
in those on estrogen replacement therapy.
The device is placed in the uterus and lasts
three to seven years.
MECHANISM OF ACTION
IUDs primarily work by preventing fertilization. The
progestogen released from hormonal IUDs mainly works by
thickening the cervical mucus, preventing sperm from
reaching the fallopian tubes. IUDs may also function by
preventing ovulation from occurring but this only occurs
partially.
Copper IUDs do not contain any hormones, but release copper
ions, which are toxic to sperm. They also cause the uterus
and fallopian tubes to produce a fluid that contains white
blood cells, copper ions, enzymes, and prostaglandins,
which is also toxic to sperm.
EFFECTIVENESS
Intrauterine system (IUS): more than 99% effective.
An IUS normally works for 3 to 5 years depending on
the type, but can be taken out earlier. Fewer than 1
in 100 women will get pregnant over the 3 to 5 years
when using an IUS.

Intrauterine device (IUD): more than 99% effective.

An IUD can stay in place for 5 or 10 years depending
on the type but can be taken out at any time. Fewer
than 1 in 100 women will get pregnant in a year,
depending on the type of IUD. Older types are less
effective.
A
D It protects against pregnancy for 5
V or 10 years, depending on the type.
A There are no hormonal side effects,
N such as acne, headaches or breast
tenderness.
T It's possible to get pregnant as
A soon as the IUD is removed.
G There's no evidence that an IUD will
E affect your weight or increase the
S risk of cervical cancer, womb
(uterus) cancer or ovarian cancer.
D
I
Your periods may become heavier,
S longer or more painful, though this
A may improve after a few months.
D It does not protect against STIs, so
V you may need to use condoms as well.
A If you get an infection when you have
N an IUD fitted, it could lead to a
T pelvic infection if not treated.
A Most people who stop using an IUD do so
G because of vaginal bleeding and pain,
E although these side effects are
S uncommon.