In cooperation with

Abstract

Intrauterine and irreversible contraceptive methods

Copper-containing Intrauterine devices (IUD) are surest non hormonal contraceptives.

The continuous advancement of the IUD raised the contraceptive safety (Pearl index) substantially and strongly reduced the side effects (Hypermenorrhea, inflammations a.o.). The advancement of the Intrauterine device (IUD) occurred in the following details:

- Enlargement of the copper portion
- Additional use of new materials
- Changes in the geometrical form of the plastic wire
- Different dimensions of the plastic wire
- Change of the insertion system

Besides, the rise of the copper portion led to a considerable improvement of the contraceptive safety of the IUD. The copper portion amounts, measured in mm2 of active surface, with the Standard-IUP to Cu T380 A and Multiload 380 mm2 or 375 mm2.

By the insert of a not corroding core from precious metal in the copper wire the durability has considerably improved. The development of different geometrical IUD forms allows the insertion of an individually conformist IUD and reduces negative side effects in particular bleeding disturbances. Mini-IUD and the »copper chain« are present above all favourably for Nulliparae.

To the indications count beside the individual wish of the patient above all the refusal and the contraindications of hormonal contraceptives.

The wish of the women for an irreversible contraception has decreased during the last years very much.

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2010; 6(1): 4-14

Keywords
Contraception, Intrauterine device (IUD), copper-containing, sterilization

Hans-Joachim Ahrendt1,Cornelia Friedrich2
1 Praxis für Frauenheilkunde, Klinische Forschung
und Weiterbildung,Magdeburg
2 Praxis für Frauenheilkunde und Geburtshilfe, Sexualmedizin,Köthen

Reviewer: Peter Rott, Berlin
und Dolores Foth,Köln

Ahrendt H.-J. Intrauterine ... Gynakol Geburtsmed Gynakol Endokrinol 2010; 6(1): 4-14 publiziert 31.03.10 www.akademos.de/gyn ©akademos Wissenschaftsverlag 2010 ISSN 1614-8533