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afya
IUT
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> ''Copper coil - IUD'' primary prevents fertilisation, also prevents implantation - esp as EC 380 mm2 - lasts 10yrs failure <2% at 5yrs, - for EC 99.9% effective 1 in 20 get expelled usually in first 3/12 <1% risk of infection in first 21 days - then same as background bleeding heavily main issue perforation - 2/1000 - esp if inserted within 6/12 postpartum, breast feeding, amenorrhoea, uss/xray to check location and then wait 6/52 before retrying ''Mirena - IUS'' 25% prevents ovulation, primary - prevents endometrial proliferation and thickens cervical mucus failure <1% in 5yrs many women are amenorrhoiec by 3-6/12, 90% reduction in menstrual loss by 1yr irreg bleeding in 1st 6/12 hormonal effects (breast tenderness, acne, wt gain) and ovarian cysts - are same as for IUD infection, expulsion and perforation - same as IUD ''Removal'' 7 days no sex 1 if >50 2 if <50 yrs after lst period if IUD after 2 high FSH 6/52 apart if IUS
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