Mechanism of action, safety and efficacy of intrauterine devices :

Mechanism of action, safety and efficacy of intrauterine devices : report of a WHO Scientific Group [meeting held in Geneva from 1 to 4 December 1986] = Mode d' action, innocuité et efficacité des dispositifs intra-utérins : rapport d' un Groupe scientifique de l' OMS [réuni à Genève, 1-4 décembre 1986] = Mecanismo de acción, seguridad y eficacia de los dispositivos intrauterinos : informe de un Grupo Científico de la OMS [se reunió en Ginebra del 1 al 4 de diciembre de 1986] - Geneva : World Health Organization, 1987. - 91 p. - World Health Organization technical report series ; no. 753 .

ger published by: Munich : Nourypharma.

An expert summary of what can be concluded, on the basis of available evidence, about the mechanism of action, safety, and efficacy of intrauterine devices (IUDs). Prepared by a group of 16 international experts, the report examines the findings and design of close to 350 studies in an effort to resolve several important questions, including the possibility that use of IUDs is associated with an increased risk of ectopic pregnancy or of pelvic inflammatory disease. The report draws additional authority for its conclusions from the number of large-scale randomized multicentre studies available for analysis. The most extensive sections of the report are devoted to a critical review of indications and contraindications for the use of IUDs. Separate sections examine the association between IUD use and the incidence of ectopic pregnancy, pelvic inflammatory disease, problems associated with menstrual blood loss, and other problems, such as expulsion, uterine perforation, restoration of fertility, and pregnancy with an IUD in place. Readers are given extensive practical advice concerning the management of complications as well as the specific precautions that can reduce the incidence of side-effects, whether serious or merely troublesome.


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Intrauterine devices.

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