Using copper and nickel silver associated with: A breakthrough in intrauterine contraception

• Autor: Hurtado, Hilario
• Formato: artículo
• Fecha de Publicación: 2015
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español
• OAI Identifier: oai:ojs.pkp.sfu.ca:article/769
• Enlace del recurso: http://51.222.106.123/index.php/RPGO/article/view/769
• Nivel de acceso: acceso abierto

The addition of silver and nickel increases the contraceptive effectiveness of copper IUDs. A clinical study was presented in 672 women with 6.982 months-use. Pregnancy rates were 0.0% at 12 months of use in 245 women with devices containing Cu + Ag and Cu + Ni. Copper only, pregnancy were 1.5% and with the same metal IUDs, 4.4%. 200 control women with Lippes C and D group showed 2.5% of pregnancies. Incidences of bleeding and first expulsions were about twice that Lippes, probably due to the design of the device rather than metals. There were no significant differences in subsequent expulsions and occurrence of pain and vaginal discharge. The feasibility of using pairs Cu + Ag and Cu + Ni in a model more appropriate IUD is discussed. Postcoital test sperm by recovery in 76 patients has demonstrated an almost complete absence of sperm in the uterine cavity in the presence of metallic IUDs, while no metal IUDs sperm migration was not affected. This may be an additional mechanism as intrauterine contraceptive effectiveness of metals.