title: Clinical experience with today's IUDs.
abstract: Today's IUDs are an extremely safe and effective method of contraception. The progesterone-containing system is associated with diminished menstrual blood loss; however, it must be removed and reinserted annually. The copper-containing IUD is effective for up to 10 years, and is protective against ectopic pregnancy. When used for at least 18 months, the copper IUD is the most cost-effective of all contraceptive methods available in the U.S. (37). There are low rates of adverse events associated with IUD use, with no systemic metabolic effects. There is a rapid return to previous fertility, comparable to other contraceptive methods, including oral contraceptives. In addition, in the event that a woman does become pregnant when using an IUD, the IUD does not increase the risk of congenital abnormalities. Finally, when inserted into appropriate candidates, there is a low risk of pelvic inflammatory disease.
authors.affiliation: Department of Ob/Gyn and Reproductive Sciences, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick 08901-1977, USA.
authors.forename: S
authors.initials: S
authors.lastname: Pasquale
mesh_terms: D000075202:Contraindications; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007433:Intrauterine Device Expulsion; D007435:Intrauterine Devices, Copper / Q000009:adverse effects*; D007436:Intrauterine Devices, Medicated / Q000009:adverse effects*; D000292:Pelvic Inflammatory Disease / Q000209:etiology; D011247:Pregnancy; D012307:Risk Factors