A short description about IUD, its types, mechanisms of work advantage and side effects. it also provide information about IUD new acceptors in Nepal.

1. INTRAUTERINE DEVICE
(IUD)
PREPARE BY
MANIK RAJBHANDARI
BPH V

2. INTRODUCTION
• IUD stands for Intrauterine device
• The IUD is a small T-shaped device that is
used as a method of birth control designed
for insertion into a women's uterus.
• 99% effective to preventing pregnancy.
• Long term i.e. 3 to 10 years
• Completely reversible contraceptive
methods.
• IUD have attached with thread or tail, which
project into vaginal after insertion.
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3. OBJECTIVES
General objectives
• To study about the Intrauterine Contraceptive Device.
Specific objectives
• To study the types of IUD
• To study the mechanisms, advantage and side effect of IUD
• To know the new acceptors of IUD in Nepal.
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4. METHODOLOGY
• For this power point presentation(pptx), Literature was searched using
PubMed, and Google. We have search on 7 June 2018. Restrictions were
put on location, and language of publication. The key word used to prepare
this pptx is IUD, first, second & third generation IUD, Hormonal IUD and
Non hormonal IUD. By using PubMed search engine, we fine 800 articles
in which we read first 2 article and 1 is used in it. And by using google we
find 1700 articles in which we read first 2 pages out of them 3 are used.
And also we read K Park book for references.
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5. RESULT
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6. TYPES OF IUD
Non Hormonal IUD
• Those IUD which doesn’t release hormone.
• In Non Hormonal IUD, sperm are kill.
• Frist generation of IUD doesn’t release any thing.
• Frist generation is suitable for multiparous women.
• Example of first generation: Lippes Loop
• Second generation of IUD only release cupper ion.
• Second generation is suitable for nulliparous women.
• Example of second generation: copper-7, ML- Cu-250, ML-Cu-
375 etc.
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7. 10/06/2018Intrauterine Contraceptive Device
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Frist generation IUD Second generation IUD

8. Sides effect of ParaGard (Second generation)
• Anemia
• Backaches
• Spotting between periods
• Vaginal discharge
• Pain during sex
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Hormonal IUD
• Also known as third generation of IUD.
• In this IUD, Progestasert hormone is use.
• Once placed in the uterus, this types of IUD
slowly release small amounts of the hormone
progestin to stop sperm from reaching the egg.
• Effective usually 7 days of insert.
• Usually T shape.
• Example Progesterone IUD and Levonorgestrel
IUD

10. Side effect of hormonal
• Breast cancer
• Breast tenderness
• Headaches
• Nausea
• Mood changes
• Weight gain
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11. MECHANISM OF IUD
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12. FRIST AND SECOND GENERATION OF
IUD
• IUD cause local inflammation in uterus wall
that begins about 24 hrs after insert.
• This inflammation attacks WBC.
• Then, this WBC produce antibody which is
toxic substances for sperm.
• Second generation IUD also release cupper
ions which is also toxic for sperm.
• By this mechanism, IUD prevent
fertilization.
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13. THIRD GENERATION OF IUD
• Same mechanism like first generation, but release progesterone
hormone daily.
• This hormone increase the viscosity of the cervical mucus.
• Prevent sperm from entering the cervix.
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T-shaped plastic frame
Hormone cylinder
Thread

15. ADVANTAGES OF IUD
• Simplicity
• Insertion takes only few minute
• Easily remove
• Inexpensive
• Highest continuation rate
• Temporary method of contraceptive
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16. CONTRAINDICATIONS
• Cervical cancer
• Pelvic inflammation & STD
• Abnormal vaginal bleeding.
• Abnormal uterine anatomy
• Pervious ectopic pregnancy.
• Suspected pregnancy
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17. SIDE EFFECT
• Bleeding
• Pain
• Pelvic infection
• Uterine perforation
• Pregnancy
• Ectopic pregnancy
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18. TREND IN NUMBER OF NEW
ACCEPTOR OF IUD IN NEPAL
0
5000
10000
15000
20000
25000
30000
35000
40000
EDR CDR WDR MEDR FWDR National
2070/71 2071/72 2072/73
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19. CONCLUSION
• Usually T shaped
• IUD is highly effective then other.
• It is inexpensive, simple and long term use.
• Remove at any time.
• Have some major side effect like Uterine perforation
• In nepal, the new number of IUD acceptor is decreasing.
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20. REFERENCES
1. Park K. Park's Textbook of PREVENTIVE AND SOCIAL MEDICINE. 24 ed.
1167, PREM NAGAR, NAGPUR ROAD, JABALPUR, 482 001 (INDIA):
BANARSIDS BHANOT. 529-33 p.
2. DOHS. MOHP. Annual Report 2072/73
3. IUD (Intrauterine Device for Brith Control) [Internet]. MedicineNet.
4. Rinkunas S. THE CUT 2016 [Nov 1, 2016].
5. PSI HOME. INTRAUTERINE CONTRACEPTIVE DEVICE (IUD) 2018.
6. healthline. Choosing Between Intrauterine Device (IUD) Types 2016.
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