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Dx Contraception and IUD Treatment:


Concensus The consensus is that the IUD is one of the best and most used contraceptives. Fifty million of the original copper IUDs were used by the WHO internationally. Concerns about the IUD focus on perforation and long term use. The perforation rate is one per two-thousand for repeat users. The rate for the copper IUD is about 1 per thousand while the Mirvena© rate is slightly higher at 2.5 per thousand. The Mirvena© had a 10-fold lower contraception failure rate. IUDs are uniquely suited for postpartum contraception.

Birth Control

The Merck Manual Home Edition states that:
"[Contraceptive Effectiveness] is almost equally effective for the oral contraceptive, intrauterine device, skin patch, vaginal ring, injection of Depo-Provera®, and implants under the skin.

Medications Used in Treatment:
1. Estrogen/Progestin Combinations: Ortho Tri-Cyclen®, Ortho Cyclen®
2. Estrogen/ Progestin/ Iron Combination:: Loestrin FE® 1/20, Loestrin®FE 1.5/30, LO Loestrin®FE
3. Estrogen/ Progestin/Folate Combination: Beyaz®, Safyral®
4. Progestin: Depo-Provera®, Micronor®, Nor-QD®, etc.
5. Intrauterine Device:
6. Androgens
7. Male Sterilization: vasectomy
8. Female Sterilization: tubal ligation, Ensure®

*[Editor] There is a strong concern that vasectomy may have a future effect on men's sexual behavior. Two studies 2008 Journal of Sexual Medicine and 1983 Acta Psychiatry Scandinavia made note of the "significance of partnered relationships and interpersonal factors in the management of erectile dysfunction" and "4 years after vasectomy, more than 50% of men noted some changes: 1)decreased frequency )15%), 2) decreased desire (19%) and changes in sexual behavior during intercourse (33%); yet were satisfied with the operation."

*[Editor] We have become concerned that the biological derangement caused by oral and injections of contraceptives. Not only do they blunt normal estradiol, substitute chemical estrogens and progestins but also they dramatically raise the Sex Hormone Binding Globulin (SHBG). SHBG regulates how much of all the sex hormones are 'free': normal range of SHBG is 30-40nmol/L; on Oral agents SHBG can exceeds 200nmol/L. This results in low hormone activity, loss of muscle and bone, poor memory and decreased libido (no sex drive). The IUDs offer equal contraception protection without the negativity of hormonal manipulation. Should PMS, heavy menstrual periods or migraine be an issue, read about different proven mixtures of F.D.A. approved medications (that works well and do not have the oral contraceptive hormonal issues).

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