Intra-Uterine Devices:Physiological and Clinical Aspects
INDEXCONTENTS 1. Introduction........ 1.1 Extent of present usage 1.2 History........ 1.3 Design of lUDs.... 2. Biological effects...... 2.1 Antifertility effects. . . 2.2 Systemic effects .... 2.3 Pelvic organ effects . . 3. Tissue reactions...... 3.1 The ovary...... 3.2 The tube 3.3 The endometrium . . . 3..4 The myometrium . . 3.5 The uterine fluid . . . 3.6 The cervix...... 3.7 The vagina...... 3.8 Carcinogenesis..... 4. Clinical experience........... 4.1 Sources of data.......... 4.2 Statistical methods and clinical trials 4.3 Contraceptive effectiveness..... 4.4 Side effects and complications . . . 4.5 Continuation of use........ 4.6 Further factors affecting utilization . 5. Patient management.......... 5.1 Indications............ 5.2 Contraindications 5.3 Immediate medical care...... 5.4 Paramedical personnel....... 5.5 Time of insertion......... 5.6 Technique of insertion . 5.7 Follow-up care.......... 5.8 Long-term safety......... 6. Future research needs......... 6.1 Basic research.......... 6.2 Clinical and epidemiological studies
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