title: [Vaginal and intrauterine contraception].
abstract: Vaginal contraception (condom, diaphragm and spermicide in pessary, tablet, jelly, cream, or sponge form) have been little used in France and generally in Europe since the advent of modern contraception with "the pill" and the intrauterine contraceptive device. The former methods, when properly used, are nevertheless both effective and useful, at least as interim measures. In addition, the protection they afford against sexually transmitted diseases and, for the condom, against HIV, is not negligible. Finally, the "barrier" methods of contraception such as the diaphragm and the condom afford significant protection against cancer of the cervix. The intrauterine contraceptive device (IUCD), used in France by 14% of women between 15 and 49 years of age and by 90 million women throughout the world for whom it is the main reversible means of contraception, have a mechanism of action that is still not fully understood. Most IUCD now used are made of copper. There are also diffusion IUCD based on progesterone or a synthetic progestational hormone which are useful in case of anaemia, menorrhagia or dysmenorrhea.
authors.affiliation: Centre de régulation des naissances Hôpital, Saint-Louis, Paris.
authors.forename: D
authors.initials: D
authors.lastname: Serfaty
mesh_terms: D000282:Administration, Intravaginal; D003270:Contraceptive Agents / Q000008:administration & dosage*; D003273:Contraceptive Devices / Q000145:classification*; D000075202:Contraindications; D005260:Female; D006801:Humans; D007434:Intrauterine Devices; D008297:Male
chemical_list: D003270:Contraceptive Agents
vernacular_title: Contraception vaginale et intra-utérine.