Special Projects Highline. HuffPost Personal Video Horoscopes. Follow Us. Terms Privacy Policy. Part of HuffPost Wellness. All rights reserved. Olivier Douliery via Getty Images. Media for Medical via Getty Images. A win for anti-abortion groups is a loss for public health. Suggest a correction. Now What? Newsletter Sign Up. If uterine perforation is suspected within 6 weeks after insertion or if it is suspected later and is causing symptoms, refer the client for evaluation to a clinician experienced at removing such IUDs.
Usually, however, the out-of-place IUD causes no problems and should be left where it is. The woman will need another contraceptive method. IUDs do not cause cancer in otherwise healthy women, but confirmed or suspected cancer of the genital tract is a contraindication to IUD use, because the increased risk of infection, perforation, and bleeding at insertion may make the condition worse.
For the levonorgestrel-releasing IUD, breast cancer is also a contraindication. However, usually women who have a very high risk of exposure to gonorrhea or chlamydia should not have an IUD inserted. IUD use neither causes multiple pregnancies after removal nor increases the risk of birth defects, whether the pregnancy occurs with the IUD in place, or after removal.
In the rare event that a client becomes pregnant with an IUD in situ, it is important to explain the risks of leaving the IUD in the uterus during pregnancy. There is a higher risk of preterm delivery or miscarriage, including infected septic miscarriage during the first or second trimester, which can be life-threatening. Early removal of the IUD reduces these risks, although the removal procedure itself involves a small risk of miscarriage.
There is no evidence of increased risk of fetal malformations, however. A woman with chlamydia or gonorrhea at the time of IUD insertion, however, is at higher risk of PID in the first few weeks after insertion than she is later. To reduce the risk of infection during IUD insertion, providers can ensure appropriate insertion conditions, screening, and counseling, as well as regularly monitor and treat infection.
Antibiotics are usually not routinely given before IUD insertion. When appropriate questions to screen for STI risk are asked and IUD insertion is done with proper infection-prevention procedures including the no-touch insertion technique , there is little risk of infection. There is no need to remove the IUD if a woman wants to continue using it. If a woman wants it removed, it can be taken out after starting antibiotic treatment. It may be inserted as soon as she finishes treatment, if she is not at risk for reinfection before insertion.
The copper in copper-bearing IUDs is not released into the blood. Levels of serum copper in long-term users of copper IUDs are similar to that of the normal population. Some couples do not want to use the IUD because they incorrectly believe that the IUD will cause infertility, ectopic pregnancy, or miscarriage. Good studies find no increased risk of infertility among women who have used IUDs, including young women and women with no children.
Whether or not a woman has an IUD, however, if she develops pelvic inflammatory disease PID and it is not treated, there is some chance that she will become infertile. PID can permanently damage the lining of the fallopian tubes and may partially or totally block one or both tubes enough to cause infertility.
In the unlikely event of pregnancy in an IUD user, 6 to 8 in every of these pregnancies is ectopic. Thus, the great majority of pregnancies after IUD failure are not ectopic. Still, ectopic pregnancy can be life-threatening, so a provider should be aware that ectopic pregnancy is possible if an IUD fails.
IUDs do not cause miscarriages after they have been removed. If correct insertion technique is used, the use of an IUD will not cause any difficulty in future pregnancies. Ella prevents fertilization through a progesterone blocker that delays or inhibits ovulation.
Some have argued that because Ella is similar in composition to RU, it functions in the same way. RU works by decreasing the lining of the uterus to the point that an implanted embryo will dislodge. Scientists argue that there is no evidence that Ella has this type of effect on the endometrium and therefore, there is no evidence that the drug can interrupt an existing pregnancy or prevent implantation. Experts point to the drug's 2 percent failure rate as proof.
According to one study published in The Lancet , when the drug is given in a massive dose, it could alter the lining of the uterus and theoretically impair an embryo's implantation. But no woman could have access to that amount of Ella. The most important point that emerges from all of this research is that, so far, there is no scientific evidence that any FDA-approved contraception is capable of destroying an embryo. To say that any of these drugs are abortifacient is not only misleading, it does a profound disservice to women who find themselves in a situation where they might have to use one of these drugs or devices.
According to the U. Department of Justice's National Crime Victimization Survey, an average of , sexual assaults is reported in this country every year. And according to a study at Princeton, more than 25, women become pregnant every year after being sexually assaulted. The CHA did a fine job of arguing why emergency contraception should be available to all victims of sexual assault, regardless of the hospital's Catholic affiliation.
But ultimately, women other than those who have been raped could also find themselves in need of this contraception as well. Condoms break and slip, women miss doses of birth control pills, and some women face all types of sexual coercion by men. Regardless of the situation, it is for a woman to decide what is best for her health and well-being.
As we saw last week in the all-male panel testifying before Congress about contraception and in the statements of the Rick Santorum and his financial backers , the culture of shaming women for taking control of their sexuality is still a powerful force in this country. And the desire by men to take control of women's bodies seems equally powerful.
In the face of these assaults on women's health and women's sexual autonomy, it is the responsibility of analysts and commentators to be honest about the science of contraception and to be cautious when asserting what an abortifacient is and what it isn't. Manson received her Master of Divinity degree from Yale Divinity School, where she studied Catholic theology and sexual ethics.
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