Page 345 - كتاب تمريض نسا الاكتروني

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2. Women who do not tolerate pills and to use other methods of contraception.

3. Women who desire a method that not need to be remembered daily.

4. Women who desire a method not related to intercourse.

5. Women see their husbands sporadically.

Contraindications

1. Known or suspected pregnancy.

2. Active pelvic inflammatory diseases (PID).

3. Previous ectopic pregnancy.

4. Undiagnosed abnormal uterine bleeding (Menorrhagia →heavy

menstruation)

5. Suspected malignancy of genital tract.

6. Sever dysmenorrhea (painful menstruation).

7. Abnormal shape of uterine cavity as in fibroid or congenital malformation.

Advantages

1. Low cost and long acting (Up to 10 years).

2. Very safe and highly effective (more than 99%).

3. Easy to use no action at time of intercourse.

4. No systemic side effects.

5. Complication as perforation or expulsion are rare.

6. Can be used safely by breastfeeding women.

7. In place all time.

8. Reversible contraceptive effect (return to fertility after removal).

Disadvantages

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