Contraptions for intrauterine contraception

Abstract

Intrauterine contraception is underutilised largely due to its reputed association with infections. The Copper T-380A, one of the most cost-effective methods of contraception and the most widely used intrauterine contraceptive device in the world, is effective for at least 12 years and is also used for emergency contraception. The levonorgestrel-releasing intrauterine system (LNG IUS) is extremely useful for treating menorrhagia. A renaissance of intrauterine contraception is overdue and will necessitate community-wide information campaigns to stimulate demand generation, implementation of service guidelines that avoid restrictive eligibility criteria, and access to service providers with special training in counselling and clinical skills. ©FSRH 2008.