IUD Flashcards
(9 cards)
Therapeutic Class
Hormonal IUD: progestin
Non-Hormonal IUD: copper
Examples
levonorgestrel (Skyla, Liletta, Kyleena, Mirena)
copper (ParaGard)
Mechanism of Action
Creates inflammation
Progestin: Thins endometrium
Prevents/disrupts implantation
Actions and Uses
Extended-duration contraception
Progestin IUDs: menorrhagia
Adverse Effects
Infection (PID), embedment in myometrium, perforated uterus
Ectopic pregnancy
Black Box Warning
If pregnancy, removal indicated & may terminate pregnancy
Contraindications
Pregnancy, progestin-sensitive carcinomas, PID
Progestin IUD: thromboembolic disease (however use of copper IUD if non-hormonal contraception is needed).
Interactions
CYP3A4 metabolized medications
Preg Cat
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