Particularly a too wide IUD was found to be cumbersome (Table 1). They concluded that side effects such as pain during use of the IUD is related to a disproportion between the size of the uterine cavity and that of the IUD. Many years ago, the importance of an optimal interrelationship between the IUD and the uterine cavity was stressed by IUD developers as fewer side effects and greater acceptability would thereby be promoted.
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Precisely how correct anchoring is accomplished, including the pitfalls, and how to check the correct position of the anchored IUD is the subject of this paper. However, frameless IUDs need to be attached to the uterus to prevent expulsion. Embedment, a frequent complication of current framed IUDs, is not possible with the frameless IUD as the uterine contractions have no impact on the flexible body and can therefore not be forced in the uterine wall. Frameless devices are small they are flexible as they have no frame they provide highly effective and well tolerated contraception simply because they fit. Continuation over time is the primary determinant of effectiveness for IUDs.Īs researchers, active in the field of intrauterine contraception since several decades, we have tried to maximize continuation of use by designing non-hormonal and hormonal intrauterine devices that accommodate to every anatomically normal uterus. However, early IUD discontinuation undermines their potential to prevent unintended pregnancy and has numerous drawbacks as many women switch to other, less effective methods or to no method at all. They are also the most vulnerable to unintended pregnancy and this is precisely why many organizations and institutions advocate IUDs in order not to become pregnant unintendedly. Young women are specifically vulnerable to side effects.
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Early IUD/IUS removal is frequent due to side effects, mostly bleeding and pain, because the uterus, like any organ, cannot tolerate a foreign body that is cumbersome for long periods of time.
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However, about 50 to 60% have their IUD removed long before the usual 5-year lifespan of the IUD. Many women are happy with their IUD and don’t complain. Unlike the pill, vaginal ring or the contraceptive patch, IUDs are fit and forget methods. Millions of women start using an IUD because doctors tell them that IUDs are safe, effective and long-lasting.