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The most common side effects of non-hormonal or copper IUDs are increased pain and heavy bleeding during menstruation, and spotting between menstruation. Impacts on menstruation may decrease over the lifespan of the IUD, but spotting between menstruation may become more frequent over time.
It is one of the most effective forms of birth control with a one-year failure rate around 0.2%. [1] The device is placed in the uterus and lasts three to eight years. [3] [4] Fertility often returns quickly following removal. [2] Side effects include irregular periods, benign ovarian cysts, pelvic pain, and depression. [2]
The most common complications related to the copper IUD are expulsion, perforation, and infection. Infertility after discontinuation and difficulty breastfeeding during use are not associated with the copper IUD. [11] [21] Expulsion rates can range from 2.2% to 11.4% of users from the first year to the 10th year.
Tanai Smith, a 25-year-old student and mother from Baltimore, explains how a rare intrauterine device complication led to an infection and the loss of her ovaries, uterus, and toes.
Until the mid-1990s, the state-preferred IUD was a stainless steel ring, [90] [91] which had a higher rate of complications compared to other types of IUD. It gave rise to the idiom shànghuán (上环), meaning "insert a loop". Nowadays, the IUDs include T and V shapes, the former being the most common and easiest to remove.
In an intrauterine device (IUD), such as Mirena among others, it is effective for the long-term prevention of pregnancy. [7] A levonorgestrel-releasing implant is also available in some countries. [12] Common side effects include nausea, breast tenderness, headaches, and increased, decreased, or irregular menstrual bleeding. [7]
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