Selection of Intrauterine Devices Essay Sample Paper

Intrauterine devices (IUDs) are devices fitted in the uterus as contraceptive measures; to prevent implantation of the formed zygote. There are two main classes of IUDs, hormonal and nonhormonal. The hormonal IUDs release progesterone while nonhormonal IUDs contain copper. The copper in nonhormonal IUDs has a toxic reaction with sperms, making them (sperms) ineffective spermicide. In this case, the sperms that are turned ineffective by the copper IUDs are unable to reach the ova, resulting in pregnancy being prevented. On the other hand, hormonal IUDs that release progesterone are much slower in action as they release progestin levonorgestrel that acts by thickening cervical mucus while thinning the uterine wall. This reduces the motility of the otherwise healthy sperm, hence preventing them from fertilizing the released egg. Also, hormonal IUDs prevent ovulation so that the egg is not released into the uterus (Merrigiola & Gemzell-Danielsson, 2021) Selection of Intrauterine Devices Essay Sample Paper.

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The selection of the preferred IUD is no small matter for a woman. IUDs are known to have contraindications and side effects. Copper IUDs have been proven to cause cramps, bleeding between periods, heavy menstrual flow, while hormonal IUDs can cause acne, headaches, cramping, irregular menses, weight gain and even mood changes. The attending health professional should help patients pick their preferred IUD based on the patient’s goals and time considerations (Higgins et al., 2018; Rubin et al., 2016)Selection of Intrauterine Devices Essay Sample Paper.

Hormonal IUDs ease period pain while copper IUDs are best for a mid to long-term plan. Cost implications for every choice of IUD play a major role, with copper IUDs trailing hormonal IUDs by a considerable margin. Health insurance coverage of gynaecological procedures should be considered in determining selection by price. In addition, the comfort of the patient and underlying health issues should be made known to the medical officer. Adolescents and young ladies value contraceptive counselling from the attending clinician and the support from their mothers (Rubin et al., 2016). Clinicians should walk their patients through each available option, breaking down in detail, the benefits, longevity, efficiency, cost and side effects of each IUD option so that the patient is able to make an informed decision Selection of Intrauterine Devices Essay Sample Paper.

References

Higgins, J., Sanders, J., Wright, K., Adkins, D., & Turok, D. (2018). Beyond safety and efficacy: How sexuality-related priorities impact contraceptive method selection. Contraception98(4), 335. https://doi.org/10.1016/j.contraception.2018.07.020

Merrigiola, M. C., & Gemzell-Danielsson, K. (Eds.) (2021). Female and Male Contraception. Springer.

Rubin, S. E., Felsher, M., Korich, F., & Jacobs, A. M. (2016). Urban adolescents’ and young adults’ decision-making process around selection of intrauterine contraception. Journal of Pediatric and Adolescent Gynecology29(3), 234-239. https://doi.org/10.1016/j.jpag.2015.09.001 Selection of Intrauterine Devices Essay Sample Paper