Key points

• The IUD is a very effective method of contraception, lasting for at least 5 years, which can be used by unmarried, nulliparous women.

• Devices containing less than 300 mm2 copper have higher failure rates and should not be used routinely.

• If an IUD is inserted after age 40 it can be left in place until contraception is no longer required.

• The commonest side effect (and commonest reason for premature removal) is heavy bleeding.

• The risk of ectopic pregnancy is enormously reduced compared with women using no contraception.

• The risk of pelvic infection has been overemphasized and by 3 weeks after insertion is not increased. Women with risk factors for STI should be screened before insertion but the IUD is not contraindicated.

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Getting Back Into Shape After The Pregnancy

Getting Back Into Shape After The Pregnancy

Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.

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