Describe the nonhormonal copper device.
Description
A T-shaped device wrapped in copper wire that is inserted into the uterus
Approved for 10 years of continuous use; may be effective for longer
Mechanism of action: altered tubal motility and a sterile inflammatory reaction of the endometrium → spermicidal effect and prevention of implantation
Describe the indications, contraindications and complications.
Indications
Emergency contraception (most effective type)
Long-acting contraception
Contraception in patients with contraindications for estrogen-based contraceptives
Contraindications
Uterine abnormalities (i.e. bleeding, malignancy, infection, abnormal anatomy)
Cervical infections
Known or suspected pregnancy
Menorrhagia
Dysmenorrhea
Copper hypersensitivity
Complications
Uterine perforation
Ectopic pregnancy
Pelvic inflammatory disease [4]
Zuletzt geändertvor 2 Jahren