Female Sterilisation Condoms Pill IUCD Male Sterilisation
Several problems with IUCDOften, they are not inherent problems of IUD Poor motivation of Client Poor Selection of Cases Poor insertion technique Poor infection prevention strategies Poor post procedural counseling Provider dependent problems Poor training.
Some of you may have a bad impression of Copper T sPerforation, It is useles Expulsion, Failure, Ectopic……… Don’t condemn ! look at the evidence
High Failure Rate ? Failure percentage of different methods with typical use Rate of Pregnancy With Typical Use 30% 25%Percentage 20% 15% TCu380A 10% 5% 0% Combined Condom Condom TCu380 A Diaphram Mini Pill S permicide Female Male Pill Methods Source…Contraceptive Technology Update Series…Family Health International
LOW ECTOPIC PREGNANCIES Use of TCu 380 A has one of the lowest rates of ectopic pregnancies. ESTIMATED ECTOPIC PREGNANCY AND CONTRACEPTIVES 7 91% less chance of developing 6 Ectopic than control 5 RATE 4 3 2 1 0 OCP TCu380A No Method Condom Diaphram S terilization Female METHODSource…Contraceptive Technology Update Series…Family Health International
CONTINUATION RATE • IUD has one of the highest continuation rates at first year of use IUD Continuation Rate of different contraception methods Combination pill Depo-Provera 90% Periodic abstinence 80% 80% 72% Male condom 70% 67% Diaphragm 70% 63% 58% Spermicides 60%Percentage 50% 43% 40% 30% 20% 10% 0% IUD condom Provera Diaphragm Combination Spermicides Depo- abstinence Male Periodic pill Contraception methodsSource…California Journal of Health-System Pharmacy
Why the failures?Poor positioning of CuTFaulty Insertion Technique
Higher Infection rates ?Poor infection prevention strategiesProviders not familiar with “No touch Technique”