IUD contraceptive Kenya
The contraceptive coil comes in two different types: copper-based intrauterine devices (IUD) and hormonal intrauterine devices (sometimes known as IUS – intrauterine system). Both are essentially made of plastic, then either “coated” with copper or hormones.
copper IUDs may increase menstrual bleeding and result in more painful cramps, hormonal IUDs may reduce menstrual bleeding or stop menstruation altogether. After three months there is about a 90% decrease in bleeding
Copper IUDs primarily work by disrupting sperm motility and damaging sperm so that they are prevented from joining with an egg. Copper acts as a spermicide within the uterus, increasing levels of copper ions, prostaglandins, and white blood cells within the uterine and tubal fluids.The increased copper ions in the cervical mucus inhibit the sperm’s motility and viability, preventing sperm from traveling through the cervical mucus, or destroying it as it passes through.
Advantages of the copper IUD include its ability to provide emergency contraception up to five days after unprotected sex. It is the most effective form of emergency contraception available
Hormonal IUDs work by releasing a small amount of levonorgestrel, a progestin. Each type varies in size, amount of levonorgestel released, and duration. For example, Mirena and Liletta measure 32x32mm while Skyla and Kyleena measure 28x30mm. The primary mechanism of action is making the inside of the uterus difficult to sperm.
What are the benefits of IUDs?
- They last a long time.
- They’re mostly hassle-free. Once you have one inserted, you don’t have to think about it, and neither does your partner.
- It’s one cost, upfront.
- They’re safe to use if you’re breastfeeding.
Who can IUD contraceptive ?
Most healthy women can use an IUD. They’re especially suited to women with one partner and at low risk of contracting an STD. IUDs don’t protect against STDs. You shouldn’t use one if:
- You have an STD or had a recent pelvic infection.
- You’re pregnant.
- You have cancer of the cervix or uterus.
- You have unexplained vaginal bleeding.
To put the IUD in, the nurse or doctor will put a speculum into your vagina and then use a special inserter to put the IUD in through the opening of your cervix and into your uterus. The process usually takes less than five minutes.
Cost of IUD insertion In Kenya
The cost depends on clinic and type of the IUD
References for IUD contraceptive Kenya
1.British national formulary : BNF 69 (69 ed.). British Medical Association. 2015. pp. 557–559.
2.Speroff, Leon; Darney, Philip D. (2011). A Clinical Guide for Contraception. Lippincott Williams & Wilkins. p. 243
4.Rivera R, Yacobson I, Grimes D. The mechanism of action of hormonal contraceptives and intrauterine contraceptive devices. Am J Obstet Gynecol. 1999 Nov. 181(5 Pt 1 IUD contraceptive Kenya