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  • Title: [Value of intrauterine contraception].
    Author: Neumann HG.
    Journal: Z Arztl Fortbild (Jena); 1985; 79(10):449-51. PubMed ID: 4049935.
    Abstract:
    The rate of IUD complications has been reduced by the development of IUDs made out of copper and by the improvement of their shape. The number of women using IUDs has increased steadily over the last 10 years. The negative aspects are circulatory problems, discharges, undesired pregnancies, and infection of the genitalia. The improved copper IUD can remain effective for up to 7 years. There has been no correlation shown between the use of the IUD and cancer of the endometrium or cervix. For IUD users who have not been pregnant, the cause of infection can often be found in other risk factors such as frequency of intercourse and the number of sexual partners. If the following steps are taken, the IUD can be as reliable and acceptable as hormonal contraceptives: 1) careful selection of the right women for insertion of the IUD; 2) detailed explanation of this method of contraception; 3) correct insertion of the IUD by a physician under sterile conditions; and 4) regular examination of the IUD user. The method is especially suitable for women who have completed their family planning as well as for older women for whom the risks of hormonal contraceptives are increased. It is also suitable for "family spacing."
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