I U C D INTRODUCTION CLASSIFICATION MECHANISM OF ACTION METHOD SIDE EFFECTS /COMPLICATIONS/REMOVAL EFFICACY WHOM SUITABLE? MISSING IUCD

Case scenario-1 26 years old ,P2L2, does not want to conceive any more. -What choices would you offer her for contraception?

Case scenario-2 A 30 years old P3L3 chose Cu-T as her contraceptive choice. -When would you ask her to come? -How many years she can keep it? -Give 2 adv and 2 disadvantages of IUCD.

INTRODUCTION A DEVICE WHICH IS PLACED IN UTERINE CAVITY WITH AIM OF PREVENTING PREGNANCY POPULAR METHOD IN DEVELOPING COUNTRIES

CLASSIFICATION NON MEDICATED : LIPPES LOOP MEDICATED : CuT 200,CuT380A MULTILOAD275 HORMONAL : PROGESTASERT MIRENA( LNG)

TYPES OF IUCDS

COPPER-T 200

MULTILOAD

MIRENA - IUCD (LEVONORGESTREL)

MECHANISM -ACTION PREVENTS IMPLANTATION. SPERMICIDAL ACTION FORIGN BODY REACTION CHEMICAL EFFECT OF COPPER PROGESTERONE - DRY CERVICAL MUCUS -ENDOMET.SUPPRESSED

METHOD TIMING :POST MENSTRUAL POST ABORATL POSTPARTUM ASEPTIC PRECAUTIONS PELVIC EXAMINATION WITHDRAWAL / MODIFIED TECHNIQUE FOLLOWUP : NEXT MENSES CHECK FOR THREAD

SIDE EFFECTS MILD PAIN / DYSMEN MILD VAG DISCHARGE BACK ACHE INCREASED BLEEDING

COMPLICATIONS MENORRHAGIA P I D ? ECTOPIC PREGNANCY ? TUBAL INFERTILITY MISSING IUCD PERFORATION OF UTERUS

WHOM SUITABLE? - INDICATIONS : -PAROUS WOMEN -POOR COMPLIANCE - CONTRAINDICATIONS : - A.U.B /SUSPECTED CA - NULLIPARA - STD/CSV/PID/FIBROID - AT RISK FOR ECTOPIC

REMOVAL-INDICATIONS SEVERE BLEEDING INFECTION SEVERE ,CONSISTANT PAIN PREGNANCY LIFESPAN : CuT 200B - 4YRS MULTILOAD 275-5YRS MIRENA - 5 YEARS

EFFICACY FAILURE RATE < 1 % - WRONG INSERTION - DISPLACEMENT - PERFORATION IF PREGNANCY - COUNSEL THE WOMAN - REMOVAL IF POSSIBLE - NO MAJOR PROBLEM IF PREG CONTINUES

MISSING THREAD /IUCD THREAD NOT SEEN /FELT : -PREGNANCY -EXPULSION -MIGRATION /DISPLACED . PREG TEST,ULTRA SCAN,X- RAY

ADVANTAGES ONE TIME SIMPLE OPD PROCEDURE COST EFFECTIVE REVERSIBLE NO SYSTEMIC SIDE EFFECTS NO COMPLIANCE PROBLEM

MUST KNOW ! THEORY : Eg : Classify IUCDs.Enlist 4 advantages and complications of CuT 200(2+4+4) SHORT NOTE : Copper –T,MissIng IUCD,removal ind. OSCE :

Theory class-30-01-04 -6th semester I U C D DR Sathisha Nayak Dept of obs. And gyne Theory class-30-01-04 -6th semester