Copper IUD Flashcards

1
Q

Types of IUD

A
  1. Copper
  2. Levonorgestrel
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Who is IUD not suitable in?

A

Under 25 = increased risk of PID
IBD (high risk of infection)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Levonorgestrel releasing

A

Reduced bleeidng/period pain
Lower risk of PID
Prescribe by Brand
- Mirena
- Levosert
- Jaydees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Mirena

A

5 years
Contraception
Menorrhagia
Oestrogen opposition in HRT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Levosert

A

3 years
Contraception
Menorrhagia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Jaydees

A

3 years
Contraception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Side effects

A
  • Pain on insertion/bleeding
  • PID (abdominal pain)
  • Uterine perforation
  • Infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Uterine perforation

A

MHRA: reports of uterine perforation with IUD.
Report:
- Severe pelvic pain after insertion
- Change in periods
- Pain during sex
- Pain/increased bleeding for more than 3 weeks
- Unable to feel threads

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Risk of infection

A

Related to carriage of existing STI
Main excess risk in first 20 days.
Pre-insertion chlamydia screen for high risk groups.
EHC = Abx prophylaxis
Treat as emergency if sustained pain over next 20 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Infection - at risk groups

A
  • Under 25
  • New partner
  • Multiple partners in past year
  • Regular partner has other partners
  • Local prevalence
  • History of STI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Removal of IUD

A

Do not remove mid-cycle unless additional contraceptive used for 7 days
If removal essential and UPSI occurs, give EHC
Pregnant = remove in 1st trimester

How well did you know this?
1
Not at all
2
3
4
5
Perfectly