Intrauterine Device

Question 1

IUD types

Answer 1

1. Copper IUD: contains 380
   mm2 copper, approved for
   10 years or 5 years
2. Levonorgestrel (LNg) IUD:
   “Mirena” contains 52 mg
   LNg, approved for 5 years

Question 2

Mechanism of The copper IUD

Answer 2

increases the
inflammatory response within the
endometrium and impairs sperm
migration and survival.

terile inflammatory reaction occurs
which is toxic to the sperm and ova
lead to sperm and blastocyst
destruction by phagocytic.

Question 3

Mechanism of The levonorgestrel-releasing IUD

Answer 3

thickens the cervical mucus which
acts as a barrier to the upper
genital tract

Question 4

contraindication to IUDs (both)

Answer 4

*pregnancy
*endometrial or cervical cancer
*unexplained vaginal bleeding
*gestational trophoblastic disease
*severe uterine cavity distortion
*active pelvic infection

Question 5

contraindication to progestin IUD

Answer 5

*active liver disease
*current breast cancer

Question 6

contraindication to copper IUD

Answer 6

*wilson disease

Question 7

What is the cause of PID
in an IUD women user?

Answer 7

?

Question 8

Pregnancies with IUD risk

Answer 8

Pregnancies that occur with an IUD
are at an increased risk of being
ectopic pregnancies.
* approximately a 40-50% chance of
spontaneous abortion occurring in
the first trimester.

Question 9

first step in Pregnancies with IUD

Answer 9

?

Question 10

management of Pregnancies with IUD

Question 11

most common complication to IUD

Answer 11

IUD expulsion