Intra uterine contraception

Intra uterine contraception

Last Reviewed : 12/24/2020
Intra uterine contraception

An intrauterine device (IUD or coil) is a small contraceptive device, often 'T'-shaped, often containing either copper or levonorgestrel, which is inserted into the uterus. They are one form of long-acting reversible contraception which are the most effective types of reversible birth control. Failure rates with the copper IUD is about 0.8% while the levonorgestrel IUD has a failure rate of 0.2% in the first year of use. Among types of birth control they, along with birth control implants, result in the greatest satisfaction among users. In 2007, IUDs were the most widely used form of reversible contraception, with more than 180 million users worldwide.

Evidence supports effectiveness and safety in adolescents and those who have and have not previously had children. IUDs do not affect breastfeeding and can be inserted immediately after delivery. They may also be used immediately after an abortion. Once removed, even after long term use, fertility returns to normal immediately.

While copper IUDs may increase menstrual bleeding and result in more painful cramps, hormonal IUDs may reduce menstrual bleeding or stop menstruation altogether. Cramping can be treated with NSAIDs. Other potential complications include expulsion (2–5%) and rarely perforation of the uterus (less than 0.7%). A previous model of the intrauterine device (the Dalkon shield) was associated with an increased risk of pelvic inflammatory disease; however, the risk is not affected with current models in those without sexually transmitted infections around the time of insertion.


We researched this topic for you and found the following best online resources. They are categorized into basic, advanced, and research level based on the extent of information you need. You will be taken to the respective websites by pressing on the links below.


Basic information:

Http:// association of reproductive health care professionals intrauterine contraception

Http:// web md intrauterine device (iud) for birth control

Http:// nhs uk iud (intrauterine device)

Https:// better health contraception - intrauterine devices (iud)

Http:// intrauterine contraceptives (iuc, iud, or ius)


Advanced information:

Http:// patient intrauterine contraceptive device

Https:// intrauterine contraception a best practice approach across the reproductive lifespan by deborah bateson ma(oxon), msc(lshtm), mb bs.,kathleen mcnamee mb bs, fracgp, dipven, graddipepibio, mepi

Http:// medicine net iud (intrauterine device for birth control)

Http:// medscape intrauterine device insertion

Http:// insertion and removal of intrauterine devices by brett andrew johnson, m.d., methodist charlton medical center, dallas, texas am fam physician. 2005 jan 1;71(1):95-102

Http:// radiopedia intra-uterine contraceptive device

Http:// health link bc intrauterine contraception

Http:// imaging of intrauterine contraceptive devices by nagamani peri, md, david graham, md, deborah levine, md

Https:// use of intrauterine contraception: a review contraception 89(3) january 2013 doi: 10.1016/j.contraception.2013.11.011



Http:// asesment of awarenes and beliefs regarding intra uterine device amongst its former users attending tertiary care centre in gujarat by jogiya priyanka d et al., int j med res health sci. 2015;4(2):32-38

Http:// suja mary george, mary george, annie soman, deepa bavan. “retension rate of intra caesarian insertion of intrauterine contraceptive device and evaluation of complications”. Journal of evolution of medical and dental sciences 2015; vol. 4, issue 20, march 09; page: 3522-3531, doi: 10.14260/jemds/2015/507

Http:// role of levonorgestrel releasing intra-uterine system in the treatment of menorrhagia due to dysfunctional uterine bleeding and fibroid uterus by gupta r et al. Int j reprod contracept obstet gynecol. 2014 sep;3(3):671-677

Http:// quandary of migrated iucd

Pandey d et al. Int j reprod contracept obstet gynecol. 2014 dec;3(4):1110-1112

Http:// misoprostol (pge1) versus dinoprostone gel (pge2) in induction of labour in late intra uterine fetal death with unfavourable cervix: a prospective comparative study by biswas t. Int j reprod contracept obstet gynecol. 2015 feb;4(1):35-37

Http:// study of placentation and maternal and fetal outcomes in cases of 2 or more caesarean sections by poonia s et al. Int j reprod contracept obstet gynecol. 2016 jul;5(7):2402-2406

Http:// evaluation of an effective and cheap analgesic protocol prior to intra-uterine device insertion in a developing country

By sharma jb et al. Int j reprod contracept obstet gynecol. 2015 aug;4(4):1061-1065

Http:// rates of iucd discontinuation and its associated factors among the clients of a social franchising network in pakistan by syed khurram azmat et al., bmc women's health201212:8 doi: 10.1186/1472-6874-12-8

Http:// acute pelvic inflammatory disease in a sub-saharan country: a cross sectional descriptive study y nkwabong e et al. Int j reprod contracept obstet gynecol. 2015 jun;4(3):809-813

Http:// a prospective study of immediate postpartum intra uterine device insertion in a tertiary level hospital

By sharma a et al. Int j res med sci. 2015 jan;3(1):183-187

Http:// role of color doppler in the diagnosis of intra uterine growth restriction (iugr) by singh s et al. Int j reprod contracept obstet gynecol. 2013 dec;2(4):566-572

Http:// worldwide use of intrauterine contraception: a review by kai j. Buhling et al., contraception volume 89, issue 3, march 2014, pages 162–173 doi:10.1016/j.contraception.2013.11.011

Http:// j fam plann reprod health care doi:10.1136/jfprhc-2014-101046 article:intrauterine contraception in nulliparous women: a prospective survey by alexandra m hall et al.,

Https:// renewed interest in intrauterine contraception in the united states:evidence and explanation by david hubacher et al., doi: 10.1016/j.contraception.2010.09.004

Https:// immediate vs. Delayed insertion of intrauterine contraception after second trimester abortion: study protocol for a randomized controlled trial by wendy v norman et al., trials201112:149 doi: 10.1186/1745-6215-12-149


Related videos:

Https:// intrauterine contraceptive device cu 375 sleek

Https:// new intrauterine device (iud) female contraceptive - old version

Https:// mirena intrauterine contraceptive system.mpg

Https:// patient education video: intrauterine device (iud)

Https:// kaplan usmle step 2 - gynecology - intrauterine contraception - chapter.09-04


Presentations/quiz/newspaper articles:

Http:// the hindu govt. To institutionalise intrauterine contraception

Http:// of malta safe use of medicine

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