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  • Title: [Intrauterine contraception. Risks, indications, trends].
    Author: Tauber PF.
    Journal: Fortschr Med; 1982 May 20; 100(19):904-12. PubMed ID: 7095705.
    Abstract:
    Intrauterine contraception is used by approximately 1 million fertile women in Germany. IUDs work through various factors, i.e. impaired activity of spermatozoa, defects in the lining surface epithelium of the endometrium, and inhibitory effects towards the blastocyst itself. The main risks of intrauterine contraception are perforation of the uterus at the time of insertion, irregular bleedings, ascending infections and ectopic pregnancies. If intrauterine pregnancy occurs despite the presence of an IUD (2-4%), the rate of abortion is considerably high. In few those cases septic sequelae may complicate the spontaneous abortion. After the removal of the IUD of any type fertility immediately returns to normal with the exception of cases suffering from inflammatory complications in association with an IUD in situ. The indication for the application of an IUD should be seriously considered, the use of a formal sheet for informed consent is advisable. Intrauterine contraception is used by approximately 1 million fertile women in Germany. IUDs work through a variety of factors; i.e., impaired activity of spermatozoa, defects in the surface lining of the endometrial epithelium, and inhibitory effects towards the blastocyst itself. The main risks of intrauterine contraception are perforation of the uterus at the time of insertion, irregular bleeding, ascending infection, and ectopic pregnancy. If intrauterine pregnancy occurs despite the presence of an IUD (2-4%), the rate of abortion is considerably high. In those few cases, septic sequelae may complicate the spontaneous abortion. After any type of IUD removal, fertility immediately returns to normal with the exception of those cases where there is inflammatory complication along with the IUD in situ. Indications for IUD application should be seriously considered and the use of a formal sheet for informed consent is advisable. (author's)
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