Advantages and disadvantages of the intrauterine device and the hormone implant
In programmes for development of contraceptives, the general health aspect of the proposed contraceptive attack has been generally underestimated. With the increasing evidence that inhibition of ovulation as such may be beneficial, the strategy of contraceptive development has to be rearranged. Subdermal implants of capsules releasing steroids at a constant rate has the advantage that ovulation can be inhibited during a long period of time. The main problems are dosage and bleeding control. The intrauterine devices have gradually been improved to facilitate insertion and diminish discomfort due to distension of the uterine cavity. The medicated copper i. u. ds have in this respect been a great step forward. On the other hand ovulation is not inhibited, bleeding irregularities occur and the blood loss at menstruation is increased. In addition, the intrauterine devices do not protect women from extrauterine pregnancies or functional cysts of the ovaries.