Brand Names

Before Receiving This Device

In deciding whether to use a progesterone IUD as a method of birth control, you need to consider the chance of using it as well as the good it can do. This is a decision you, your sexual partner and your health care professional will make. For progesterone IUDs, the following must be considered

Pregnancy care

There is a rare risk that a woman can become pregnant with the IUD in the uterus. If this happens, it is recommended that the IUD be removed or that the pregnancy be ended within the first 3 months. If the pregnancy continues, removing the IUD decreases the risk of a problem developing. However, whether the IUD is removed or not, some problems can occur. Some of these problems include miscarriage, premature labor and delivery, infection and, very rarely, death of the mother.

Your health care professional will help you decide on the proper time to begin using an IUD after delivering a baby. Sometimes problems can occur if you start using the IUD too soon after delivery. These problems include having the IUD move out of place or having it press into the walls of the uterus or the cervix - opening to the uterus. These problems may harm the cervix or uterus, causing pain or unusual uterine bleeding Call your health care professional immediately if you have any problems.

Breast-feeding problem

Adolescents Sexually active teenagers are strongly encouraged to use a contraceptive method that protects them against sexually transmitted diseases - STDs.

Teenagers who have not had children usually have more side effects than teenagers or adults who have had children. In teenagers who have not had children, the IUD may move out of place. This may harm the uterus or cervix. Abdominal pain and increased menstrual bleeding also are more common in teenagers than in women who are older and have had children.

Other Information for using

• Abnormal uterus May decrease the IUD's ability to prevent pregnancy or may increase the risk of problems, such as the IUD moving out of the uterus or pressing through the cervix or uterus

• Acquired immunodeficiency syndrome - AIDS, autoimmune diseases, treatable cancer, suspected or known cancer of the uterus or cervix, or any other condition that may decrease the ability of the body to fight infection These conditions may increase the risk of a vaginal infection occurring with the use of an IUD

• Blood disorders
• Uterine bleeding problems, especially heavy bleeding during periods or bleeding between periods At the time of insertion, use of a progesterone IUD can make uterine bleeding worse, although this lessens with continued use. Always heavy uterine bleeding may cause the IUD to move out of place

• Diabetes, insulin-dependent
• Heart defect If an infection occurs during use of an IUD, the infection may become worse andbe harder to treat in these diseaseds

• Ectopic pregnancy - pregnancy not in the uterus, history of The risk of an ectopic pregnancy may be increased if contraception fails during IUD use

• Fainting - history of
• Slow heartbeat - history of The risk of problems may be increased when, or soon after, the IUD is inserted

• Infection in the vagina or uterus
• Recent infected abortion
• Sexually transmitted disease in the last 12 months Use of an IUD may make an infection worse

• Surgery involving the uterus or fallopian tubes Certain surgeries of the uterus or the fallopian tubes may increase the risk of problems if an IUD is present in the uterus. Always if contraception fails, the risk of an ectopic pregnancy may be higher