| name | Intrauterine Device (IUD) - Non-Hormonal |
| classification | Contraceptive device |
| pharmacokinetics | Non-hormonal IUDs do not have systemic absorption. They work by creating a hostile environment for sperm, preventing fertilization. Their effect is purely local within the uterus. |
| suggested dosage | N/A. The IUD is a one-time insertion procedure. Follow-up visits are needed to monitor placement, effectiveness, and safety. |
| indications | | 1 | Long-term contraception | | 2 | Management of heavy menstrual bleeding (menorrhagia) | | 3 | Reduction of menstrual cramping |
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| safety in pregnancy | Absolute contraindication. If a woman becomes pregnant with an IUD in place, the device should be removed immediately and care should be taken to prevent complications for the mother and the developing fetus. |
| safety in breastfeeding | Generally considered safe for breastfeeding mothers. There is no known mechanism by which the IUD would interfere with breast milk production or composition. |
| side effects | | 1 | Initial cramping and/or discomfort following insertion | | 2 | Menstrual irregularities (e.g., spotting, heavier or lighter periods) | | 3 | Pelvic pain (rare) | | 4 | Infection (rare) | | 5 | Expulsion of the device (rare) | | 6 | Perforation of the uterus (extremely rare) | | 7 | Dysmenorrhea, if significant, should be treated appropriately |
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| alternatives | |
| contraindications | | 1 | Known or suspected uterine or cervical abnormalities | | 2 | History of pelvic inflammatory disease (PID) | | 3 | Active pelvic infections | | 4 | Unexplained vaginal bleeding | | 5 | Pregnancy | | 6 | Suspected ectopic pregnancy | | 7 | Severe uterine anomalies |
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| interactions | No significant drug-drug interactions with non-hormonal IUDs. |
| warnings and precautions | | 1 | Proper insertion technique is crucial to avoid complications. It is recommended that the procedure be performed by a qualified medical professional. | | 2 | Follow-up visits are necessary to monitor the device's placement and check for potential issues. | | 3 | IUDs are not 100% effective, and some women may still experience unintended pregnancies. | | 4 | All patients should be made aware of potential complications and risks involved with IUDs. | | 5 | Pain and discomfort after IUD insertion are expected, but severe/prolonged pain warrants immediate follow-up. |
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| additional information | Non-hormonal IUDs are typically made from materials like copper or plastic and their efficacy is related to local mechanisms of action. It is important for a medical professional to discuss suitability with the patient. |
| patient details | |
| specific notes | The information provided here is for general knowledge only. Consult a healthcare professional for personalized medical advice. This information is for female patients only; it does not apply to males. |
