Copper IUD

Copper IUD
Photo of a common IUD (Paragard T 380A)
Background
TypeIntrauterine
First use1970s[1]
Trade namescopper-T, ParaGard, others
AHFS/Drugs.comFDA Professional Drug Information
Failure rates (first year)
Perfect use0.6%[2]
Typical use0.8%[2]
Usage
Duration effect5–12+ years[1]
Reversibilityrapid[1]
User remindersCheck thread position after each period. Have removed shortly after menopause, if not before.
Clinic reviewAnnually
Advantages and disadvantages
STI protectionNo
PeriodsMay be heavier and more painful[3]
BenefitsUnnecessary to take any daily action.
Emergency contraception if inserted within 5 days
RisksSmall risk of PID in first 20 days following insertion.[3]
Rarely, uterine perforation.

A copper intrauterine device (IUD), also known as an intrauterine coil or copper coil or non-hormonal IUD, is a type of intrauterine device which contains copper.[3] It is used for birth control and emergency contraception within five days of unprotected sex.[3] It is one of the most effective forms of birth control with a one-year failure rate around 0.7%.[4] The device is placed in the uterus and lasts up to twelve years.[3][1][5] It may be used by women of all ages regardless of whether or not they have had children.[6] Following removal, fertility quickly returns.[1]

Side effects may be heavy menstrual periods, and/or rarely the device may come out.[3] It is less recommended for people at high risk of sexually transmitted infections as it may increase the risk of pelvic inflammatory disease in the first three weeks after insertion.[6] It is recommended for people who don't tolerate or hardly tolerate hormonal contraceptives. If a woman becomes pregnant with an IUD in place removal is recommended.[6] Very rarely, uterine perforation may occur during insertion if not done properly.[1] The copper IUD is a type of long-acting reversible birth control.[4] It primarily works by killing the sperm.[1]

The copper IUD came into medical use in the 1970s.[1] It is on the World Health Organization's List of Essential Medicines.[7] They are used by more than 170 million women globally.[8][9]

  1. ^ a b c d e f g h Goodwin TM, Montoro MN, Muderspach L, Paulson R, Roy S (2010). Management of Common Problems in Obstetrics and Gynecology (5 ed.). John Wiley & Sons. pp. 494–496. ISBN 978-1-4443-9034-6. Archived from the original on 2017-11-05.
  2. ^ a b Trussell J (2011). "Contraceptive efficacy" (PDF). In Hatcher RA, Trussell J, Nelson AL, Cates W Jr, Kowal D, Policar MS (eds.). Contraceptive technology (20th revised ed.). New York: Ardent Media. pp. 779–863. ISBN 978-1-59708-004-0. ISSN 0091-9721. OCLC 781956734. Archived (PDF) from the original on 2017-02-15.
  3. ^ a b c d e f World Health Organization (2009). Stuart MC, Kouimtzi M, Hill SR (eds.). WHO Model Formulary 2008. World Health Organization. pp. 370–2. hdl:10665/44053. ISBN 9789241547659.
  4. ^ a b Wipf J (2015). Women's Health, An Issue of Medical Clinics of North America. Elsevier Health Sciences. p. 507. ISBN 978-0-323-37608-2. Archived from the original on 2017-09-24.
  5. ^ "IUD Birth Control Info About Mirena & ParaGard IUDs". www.plannedparenthood.org. Archived from the original on 4 January 2021. Retrieved 22 March 2018.
  6. ^ a b c British national formulary : BNF 69 (69 ed.). British Medical Association. 2015. pp. 557–559. ISBN 978-0-85711-156-2.
  7. ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  8. ^ Speroff L, Darney PD (2011). A Clinical Guide for Contraception. Lippincott Williams & Wilkins. p. 243. ISBN 978-1-60831-610-6. Archived from the original on 2017-11-05.
  9. ^ Schäfer-Korting M (2010). Drug Delivery. Springer Science & Business Media. p. 290. ISBN 978-3-642-00477-3. Archived from the original on 2017-11-05.

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