title: The intrauterine device and the intrauterine system.
abstract: Intrauterine contraception is used by about 100 million women worldwide, making it the most popular form of fertility regulation. In UK community contraception clinics, however, long-acting reversible contraception has increased to 28% of users, and intrauterine contraception accounts for only 8% of methods used by women accessing these services. Potential exists to increase uptake of these more effective methods. In this chapter, we review the clinical advantages, disadvantages and cost-effectiveness of intrauterine contraception. We discuss the management of complications along with advice for trainers, and briefly consider issues in developing countries.
authors.affiliation: Sexual Health Services, Derbyshire Community Health Services, Chesterfield, S40 2AB, UK. Electronic address: stephen.searle@dchs.nhs.uk.
authors.forename: E
authors.initials: E
authors.lastname: Stephen Searle
mesh_terms: D003267:Contraception / Q000191:economics / Q000295:instrumentation* / Q000379:methods; D003268:Contraception Behavior; D003906:Developing Countries; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects* / Q000191:economics; D007435:Intrauterine Devices, Copper / Q000009:adverse effects; D007436:Intrauterine Devices, Medicated / Q000009:adverse effects; D006113:United Kingdom
keywords: coil; contraception; effectiveness; intrauterine devise; intrauterine system; training