Medicated Intrauterine Devices: Physiological and Clinical Aspects

ISBN-13: 9789400988743 / Angielski / Miękka / 2011 / 250 str.

E. S. Hafez; W. a. Van Os

Opis

Extensive basic research and clinical trials have in some aspect of reproductive physiology, gyne- been conducted on inert and medicated intrauterine cology, or family planning. There is in this volume devices. In the last decade, substantial progress has an attempt to provide a total coverage of current been made in understanding the modes of action progress in medicated intrauterine devices. The and the physiological mechanisms of IUDs - pro- volume is intended for a broad readership, includ- gress resulting from modern techniques and in- ing physicians, medical workers, medical personnel, strumentation in microanatomy, immunology, pa- and administrators in family planning. It is hoped thology, endocrinology, biochemistry and biophy- that this volume will serve as a stimulus to basic sics. Such studies, however, are scattered in such a scientists and clinicians concerned with intrauterine wide spectrum of journals that the clinician and devices to intensify their research toward better family planner can hardly keep up to date with the contraceptive techniques. advances. An attempt is made in this volume to coordinate physiological and clinical parameters. Little is September 1980 known about the possible role of diet, diseases and environmental factors. E. S. E.

Spis treści

1. Historical: Ernst Gräfenberg and the golden year of the silver ring.- I. Physiological Aspects.- 2. Uterine geometry and IUD performance.- 3. Corrosion of copper in utero.- 4. The effect of the IUD on the ultrastructure of the endometrium.- 5. The effect of the progesterone-releasing IUD on the morphology of the endometrium and the oviduct.- 6. The effect of the IUD on the glycogen metabolism of the endometrium.- 7. Physiological mechanisms of IUDs.- 8. The role of prostaglandins in the mechanism of action and the side effects of IUDs.- 9. Pituitary-ovarian function in IUD users.- II. Clinical Aspects.- 10. Copper IUDs: general considerations.- 11. Copper IUDs in nulliparous women.- 12. Immediate postplacental insertion of an IUD.- 13. Post-abortum IUD insertion.- 14. Intrauterine contraception with the progestasert ® system.- 15. Indications for progesterone-releasing IUDs.- 16. Ultrasonography for locating IUDs in the uterine cavity.- 17. Fertility after IUD removal.- 18. Psychological factors: counselling and motivation of contraceptive patients.- 19. Contraception for adolescents.- 20. The use of IUDs in addicted women.- III. Future Development.- 21. Future developments in intrauterine contraception.- 22. IUD decision guide: determinants of IUD continuation.- 23. Testing the clinical performance of an IUD.- 24. Some legal and ethical aspects of IUD use.- 25. The consultant and future development.- 26. Epilogue.- 27. Inventory of questions and answers.