IUDs
Inter Uterine Device
(ultrasound picture of IUD in place)
ãIt is any object inserted into the uterus through the cervical
opening and left there in order to prevent pregnancy. As long as
the IUD is left inside the uterus it disrupts the environment of the womb
so that the implantation of a fertilized egg cannot occur (Tucker, 87).ä
-Tarvex
Tucker
History of IUD
Camel riders in the Middle East are the first
recorded users of the IUD or Inter Uterine Device. It was common
knowledge that if you placed small pebbles in the uterus of your camel,
it would not become pregnant even during its periods of high sexual activity
(Heat). Hippocrates, the original Greek doctor, also wrote of a small piece
that could be put into the uterus of a woman with the help of a small tube
(Tucker, 88-89).
The idea of an ÎIUDâ no matter how effective, was
not improved upon until 1909. At that time, a German physician named
Richard Richter began to build IUDs from small bronze rings and silk thread.
Richter, as well as many other doctors versions of the IUD was too large
for widespread use and caused painful infections. In 1930, Ernest
Grafenberg improved upon the ancient contraceptive by improving upon Richter's
idea making the contraptions smaller, avoiding most infections and
making the device more comfortable. By the early 1960âs many other
forms/designs of IUD were invented and were constructed of safer materials
(Roberts, 116-119).
(*Picture of Majzlin Spring)
How it Works
No one knows exactly how the IUD works! There are many
theories but no one knows exactly why it is capable of preventing pregnancy.
It is thought that the touch of an IUD against the uteral lining irritates
the menstrual cycle causing the eggs to be expelled during odd times
(Tucker, 87-89).
Another theory suggests that the touch of the IUD on the lining creates
an environment unsuitable for the implantation of the egg
(Robertson, 117). The most
recent belief implies that the IUD blocks the sperm and egg from meeting
because the body produces extra white blood cells that combat the IUD device
in the uterus. The white blood cells then turn on the sperm and egg
killing them off (World Health Organization, 22).
(*Pictures from left bottom up: Copper 7, Plastic Coil, Copper T, Inserting
device)
Types of IUD The two main category of IUD are medicated
and non-medicated.
1. Medicated: These forms of IUD use hormones to prevent conception.
Copper plated IUDs are considered medicated because copper has an unexplainable
ability to hinder fertilization.
2. Non Medicated: This category includes all other forms of IUD
no matter shape or size. Some examples of this type are; Lippes Loop
(plastic coil), Single & Double Stainless Steel Rings, Plastic Coils,
and the Majzlin Spring.
*The Dalkon Shield is also considered a Non Medicated IUD, but
it is now outlawed in the US (World Health Organization, 22).
? THE RING- The first IUD, is made of copper ring wound with silk. Has
a high rate of expulsion.
? Plastic Coils- Plastic coils. More easily inserted than other
forms of IUD. Made of memory plastic that retains spring shape once
inserted.
? Majzlin Spring- Stainless steel. Shaped like and upside down
ãUä with many small arms that keep it in place. The most difficult
to take out.
?Copper IUD- Two types, Copper T and Copper 7. Made of plastic
wound with copper wire. Shaped like a ÎT.ä Most widely used
and effective type (Tucker, 89-92).
Research Topics
-
*Research effectiveness of each type of IUD
-
*Insertion procedures
-
*Best time to insert IUD
-
*Complications and side effects (i.e. PID, Expulsion, Damage)
**Why has Dr. Sheldon Segal said, "The IUD is probably more suited to developing
countries where "logistically complex" oral contraception is less viable?"-Robertson,
PG. 118
Research Sources
-
Robertson, William H. "An Illustrated History of Contraception",
The Parthenon Publishing Group. 1990.
-
Tucker, Tarvez. "Birth Control", Tobey Publishing Co., INC. 1975.
-
World Health Organization. "Contraceptive Method Mix",1994.