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Long-acting Reversible Contraception: The Effective and Appropriate Use of Long-Acting Reversible Contraception

Long-acting Reversible Contraception: The Effective and Appropriate Use of Long-Acting Reversible Contraception

NICE Clinical Guidelines - National Collaborating Centre for Women’s and Children’s Health (UK)

Version: October 2005

Evidence Tables

Usage of implants and injectables

Copper intrauterine devices (IUDs)

Intrauterine devices (IUDs) are small contraceptive devices inserted through the cervix and positioned in the cavity of the uterus. Copper-containing IUDs currently available in the UK include: U-shaped (Multiload Cu375, MultiSafe 375, Multi-Safe 375 Short Loop, Load 375); plain T-shaped (Nova-T 380, Neo-Safe T 380, UT 380, UT 380 Short, Flexi-T 300); banded T-shaped (T-Safe CU 380A, Flexi-T 380, TT 380 Slimline); and frameless (GyneFix). The TT 380 Slimline is licensed for 10 years of use, the T-Safe CU 380A for 8 years and the remaining available IUDs for 5 years of use. For the purposes of the guideline we have regarded T-Safe CU 380A as comparable to TCu 380A. The available IUDs have copper on a plastic frame or a thread (frameless), with a small thread that protrudes through the cervical canal into the upper part of the vagina allowing easy removal. The tails also can be checked regularly by the wearer to ensure correct placement. It may occasionally require local anaesthesia and dilation of the cervical canal to aid insertion in nulliparous or perimenopausal women. IUDs vary in structural design and amount of copper. The levonorgestrel-only intrauterine system (LNG-IUS) has some similar features to IUDs and is considered in a separate chapter (see Chapter 5).

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