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Obstetrician-gynecologist, fertility specialist

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Complications and side effects of intrauterine devices

Alexey Portnov, medical expert
Last reviewed: 19.10.2021

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When using intrauterine devices, there may be both complications and undesirable side effects. With the introduction of intrauterine devices, it is possible to develop complications such as perforation of the uterus (0.2%). The use of an intrauterine device can be accompanied by the appearance of inflammatory diseases of the internal genital organs (16-18%). In addition, women with IUDs often have a change in the menstrual cycle, manifested as the development of algodismenorea, hyperpolymenorrhoea, especially in the first months of use of contraceptives (27-40%). After 3-4 years, with the use of intrauterine devices, women can develop hyperplastic endometrial processes, which will also lead to an increase in the monthly volume. Some patients (1-2%) may have an expulsion of the contraceptive.

Acceptability of intrauterine devices in different periods of a woman's life

Group of women	Use of IUDs	Cause
Adolescence	Inadvisable	High risk of inflammatory diseases of the genitals, algodismenorei, impulses
Nulliparous	Inadvisable	High risk of inflammatory diseases of the genitals, algodismenorei, impulses
In the postpartum period (after 6 weeks), during lactation	Perhaps with a constant sexual partner	Does not affect lactation
In the intergenetic interval	maybe	It is necessary to take into account the risk of developing complications and undesirable side effects. Possibility of reproductive harm after complications
After abortion (before the recovery of the menstrual cycle)	Not recommended	High risk of complications and unwanted side effects. Possibility of reproductive harm after complications
In the late reproductive age	Not recommended	High risk of hyperplastic endometrial processes and growth of uterine tumors

trusted-source [1], [2], [3], [4], [5], [6], [7], [8]

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