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  • Title: Acceptability of IUDs is increasing.
    Author: Finger WR, Barr D.
    Journal: Netw Res Triangle Park N C; 1992 Oct; 13(2):27-30. PubMed ID: 12286082.
    Abstract:
    There are several new development in IUDs and IUD research which should increase their acceptability both to clinicians and to the public. The basis for this outlook was publicized at a conference in March 1992 in New York called "A New Look at IUDs--Advancing Contraceptive Choices," sponsored by the Population Council and Contraception journal. Acceptance has increased the most in China, with the largest numbers of IUD users, and the least in sub-Saharan Africa and the US. Current "second generation" IUDs incur no increased risk of pelvic inflammatory disease (PID) in women who have no risk factors. The US Centers for Disease Control still remains skeptical of PID risks. The costs of using IUDs should fall, now that is apparent that the TCu 380A can safely remain in place for 8 years. It is also more cost effective overall, since its failure rate, 0.3/100 women/year, is comparable to that of Norplant and injectables. The cost of a copper IUD is about $1 each. Another aspect in favor of IUDs is that women with histories of ectopic pregnancy or diabetes can safely use them. Another reason is new evidence that the mode of action of an IUD is to prevent fertilization, a small point that should put at east those who are opposed to destruction if a conceptus. A new levonorgestrel-releasing IUD is now available that decreases blood loss. It may bring on amenorrhea, a problem that can be addressed by counseling. The greatest obstacle in improving acceptability of IUDs is the medical community. One way to change that is to include the latest information in training courses for obstetrician-gynecologists. All health care providers need to be given accurate timely information.
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