What are disadvantages of intrauterine devices (IUDs) for contraception?

Updated: Oct 06, 2020
  • Author: Frances E Casey, MD, MPH; Chief Editor: Richard Scott Lucidi, MD, FACOG  more...
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IUDs are associated with a risk of uterine perforation at the time of insertion (1%). Increased dysmenorrhea and blood loss may occur in the first few cycles with use of the Copper T380.  

The intrauterine device does not protect against sexually transmitted infections.

Contraindications include an abnormal or distorted uterine cavity, undiagnosed genital bleeding, uterine or cervical malignancy, Wilson disease, known or suspected pregnancy, and active cervical or endometrial infections.

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