Somwhere deep in the MATRIX, convinced that 27.03.03. was the real date
Spokes wrote:
ciach


> Istnieje spore ryzyko, ?e ci??a po wyje^ciu
> spirali be^dzie ci??? pozamaciczn?.

Jakie to ryzyko? Dane statystyczne - mozesz podac? Czy obracasz sie w
ramach ogolnikow?

Poczytaj:
Fertility outcome after ectopic pregnancy and use of an intrauterine
device at the time of the index ectopic pregnancy
A. Bernoux1, N. Job-Spira1, E. Germain2, J. Coste1 and J. Bouyer1,3

1 INSERM U292, Hôpital de Bice^tre, 82 rue du Général Leclerc, 94276 Le
Kremlin-Bice^tre Cedex and 2 Centre Hospitalier Hôtel-Dieu, Service
Epidémiologie, Prévention et Economie de la Santé, Clermont-Ferrand, France

Fertility after ectopic pregnancy (EP) was investigated in a
non-selected population taking into account intrauterine device (IUD)
use at the time of the EP. Between January 1992 and June 1996, 647 women
listed in the EP register of Auvergne (France) were followed up. The
analysis included only the 328 women who were seeking to become
pregnant: 23 women using IUD at the time of the index EP (IUD users) and
305 IUD non-users. Among IUD users, there was no recurrence of EP, and
the 1 year cumulative rate was 87% [95% confidence interval (CI):
73-100%] for intrauterine pregnancies and 86% (95% CI: 72-100%) for
deliveries. Among IUD non-users, the 2 year cumulative rate for
recurrence of EP was 28% (95% CI: 17-39%), and the 1 year cumulative
rates were 60% (95% CI: 53-66%) for intrauterine pregnancies and 44%
(95% CI: 38-56%) for deliveries. The adjusted intrauterine pregnancy
rate of IUD users was not significantly different from that of IUD
non-users. However, IUD non-users had more miscarriages, so their
delivery rate was lower.
Dlaczego wsrod kobiet stosujacych IUD nie pojawily sie ponownie ciaze
pozamaciczne?

> Wtedy nie tylko dziecko nie prze?yje, ale
> i Twoje zdrowie, a nawet ?ycie mo?e by? zagro?one.


> Ponadto spirala ma
> jeszcze wiele innych skutków ubocznych, o których je?li chcesz, to
> informacje ^(3)atwo znajdziesz.

Prosze wymien je. Bo znowu podajesz ogolniki.

Ale co do tematu pytania , ktore zapoczatkowalo watek : faktycznie nie
zaleca sie zakladania wkladek domacicznych nierodkom. Ale sa sytuacje
kiedy sam je zakladam (przykladowo pacjentka ze schizofrenia, stosujaca
silne leki psychotropowe). Ale nie jest to metoda z wyboru u dziewczyny,
ktora nie rodzila.
A skad biorą sie przesady dot wkladek ?
Z podrecznikow.
bo: ( artykul z Contraception z 2002 roku)
Abstract
This study examined current textbooks and manuals to discern whether
their presentations of the Copper T380A intrauterine device are
accurate, current, and objective. Thirteen medical student obstetrics
and gynecology texts used in the US and five from the UK were evaluated
for information presented about the Copper T-380A intrauterine device. A
scoring system was developed to record the presence or absence of
characteristics of intrauterine device usage. The two authors
independently reviewed the texts and completed code sheets. In general,
advantages of the device were under-reported while disadvantages were
exaggerated. Review of US texts identified inaccuracies regarding the
device's mechanism of action; 5 of 13 did not include its
prefertilization action. Despite evidence to the contrary, 9 of 13 texts
reported an increased risk of pelvic inflammatory disease associated
with intrauterine device use; 6 of 13 reported an increased risk of
ectopic pregnancy; and 4 of 13 reported an increased risk of
infertility. Review of UK texts yielded similar results regarding
advantages and disadvantages, as well as mechanism of action. The UK
texts presented fewer inaccuracies regarding intrauterine device risks.
Most texts from both countries implied that the intrauterine device is a
method of last resort. Texts commonly used by medical students on
women's health rotations may not be evidence-based in the information
presented about the intrauterine device.

No, to EOT.
Vlad