| a) If a woman wants a new IUD
when an old one has expired, no rest period is needed. b) IUD removal is indicated if:
- the woman requests removal,
- the woman develops precautions/contraindications, or
- the effective life of the IUD is reached (e.g., the full
effective life of the CuT 380A is currently 10 years).
|
a-b) The removal and reinsertion
of an IUD exposes a woman to a small risk of introduction of vaginal or endocervical canal
microorganisms into the upper genital tract. For this reason, long-acting IUDs are
preferred. The Copper T 380A has been shown to be effective for at least 10 years.
- Farley TM, Rosenberg MJ, Rowe PJ, Chen
JH, Meirik O. Intrauterine devices and pelvic inflammatory disease: An international
perspective. The Lancet 1992;339:785-788.
- Kjael A, Laursen K, Thormann L,
Barggaard O, Lebech P. Copper release from copper intrauterine devices removed after up to
8 years of use. Contraception 1993;47(4):349-350.
- Copper T 380A intrauterine device is
effective for 10 years. News Release, The Population Council, New York, NY, September 27,
1994.
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