QUESTION I have b e en fol lowing the S o ciety of Obstetricians and Gynaecologists of Canada’s (SOGC’s) guidelines on emergency contraception. One of my colleagues tells me that implantation takes place on about the fifth day after conception and, therefore, use of an intrauterine device (IUD) on the sixth or seventh day (in accordance with the guidelines) could be seen as abortion. Does this ...

©FSRH J Fam Plann Reprod Health Care 2008: 34(3) Summary Intrauterine contraception is underutilised largely due to its reputed association with infections. The Copper T-380A, one of the most cost-effective methods of contraception and the most widely used intrauterine contraceptive device in the world, is effective for at least 12 years and is also used for emergency contraception. The levonor...

Intrauterine contraceptive device (IUCD) is the commonest form of contraception used in view of less systemic side effects. However, there are a multitude of local complications caused by it. Of all the local complications described, migration of the device into adjacent organs is the most morbid of all complications. A patient presenting with history of loss or disappearance of the intrauterin...

Misconceptions exist in Nigeria about the effects of hormonal contraceptives on weight, which may have negative effects on contraceptive use. Data from case notes of clients attending the reproductive health centre at the Ahmadu Bello University Teaching Hospital, Zaria, between 1993 and 1995, were analysed to determine the effects of hormonal contraceptives on body weight, comparing them to cl...

OBJECTIVES A substantial proportion of women who undergo an abortion continue afterwards without switching to more effective contraceptive use. Many subsequently have repeat unintended pregnancies. This study, therefore, aimed to identify and describe health professionalś experiences of providing contraceptive counselling to women seeking an abortion. METHODS We interviewed 21 health professi...

The mechanism by which metaillic copper increases efficacy of an intrauterine contraceptive device sti II remains unclear. Copper has strong affinity for progesterone receptors and consequently inh ibits progestationa I oro Iifer3tion (5). However, the change was observed on Iy in the cytosol fraction of the rabbit uterus and no estimate of the effect of copper on nuclear receptors and the tran...

BACKGROUND Modern Intrauterine contraceptive device (IUCD) is very safe, highly effective reversible and inexpensive family planning method which offers 5-10 years of protection against pregnancy. The contraceptive use in Pakistan has been merely 30% for over a decade with IUCD being the least used method. Higher discontinuation rates are documented in developing countries; however no such data...