Intra uterine contraception

Question 1

How does the Mirena coil (LNG-IUS) work?

Answer 1

1. Progesteronic effect thickens to cervical mucus

2. Prevents endometrial proliferation and implantation

Question 2

What is the LNG-IUS 13.5?

Answer 2

1. Known as the Jaydess coil (Prgesterone releasing IUD)

2. Narrow insertion device and shorter frame making it easier use of contraception in nulliparous women

Question 3

How does LNG- IUS effect the menstrual cycle?

Answer 3

1. Does not effect ovulation thus can cause unpredictable bleeding
2. Can cause lighter and absent periods in women - MOST EFFECTIVE IN REDUCING HMB BY 90% IN 12 MONTHS.

Question 4

How long is the life of the Mirena coil?

Answer 4

licensed for 5 years of contraceptive use

Question 5

How do IUDs work?

Answer 5

1. IUD stimulate an inflammatory reaction in the uterus - the concentration of macrophages etc increase
2. This causes a toxic effect to the sperm and eggs

Question 6

How does the copper - IUD effect menstruation?

Answer 6

Unlike the Mirena coil, it can cause heavier or more painful menses

• The use of NSAIDs can help to lessen to pain and bloodloss

Question 7

How long can Copper iUD be used for?

Answer 7

3 -1 0 years

Question 8

Name some reported side effects of the LNG- IUS?

Answer 8

1. Acne
2. Headaches
3. Breast tenderness
4. Mood disturbance

Question 9

Name 4 major risks of IUD insertion?

Answer 9

1. Perforation - Uterine perforation with insertion of IUD
2. Expulsion - 1 in 20 IUD devices can be expelled in the first 3 months
3. Infection - Pelvic inflammatory disease
4. Missing threads - may indicate pregnancy, expulsion or perforation

Question 10

Apart from contraception, what else can a copper coil be used for?

Answer 10

1. Copper IUDs are the most effective method of emergency contraception and is first line