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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.





YEAR: 1993




CATEGORY: Contraception (Birth Control) and Family Planning



TITLE



Radiology rounds. Intrauterine contraceptive device.



AUTHORS

Margolis M; McLennan MK


SOURCE

CANADIAN FAMILY PHYSICIAN. 1993 Oct;39:2113, 2283-4.



ABSTRACT

One encounters a variety of radiopaque foreign objects when reviewing plain film radiographs of the abdomen.

Recognizing such devices can offer important clues about a patient's medical history. Accordingly, intrauterine

contraceptive devices (IUCD), tubal sterilization, varicoceles, inferior vena cava (IVC) filtration, and vaginal pessaries

are discussed with reference made to an IUD, tubal sterilization clips, embolization coils for bilateral varicoceles, an

IVC filter, and a vaginal pessary in five attached anteroposterior radiographs of the lower abdomen and pelvis for five

different patients. IUCDs confer long-term, passive, reversible, and inexpensive protection against unwanted

pregnancy. They may, however, induce menstrual complications as well as an increased risk of pelvic inflammatory

disease and ectopic pregnancy. They can also be spontaneously expelled from the uterus without being noticed by

the client. An IUCD increases the risk of spontaneous abortion unless removed in cases where intrauterine

pregnancy occurs. Complications at the time of insertion include pain, syncope, and uterine perforation. Tubal

sterilization is an effective, though largely irreversible method of contraception. Complications include an increased

risk of ectopic gestation in the event of pregnancy and the usual risks of hemorrhage, infection, injury to adjacent

structures, and anesthesia-related complications. A varicocele is a dilation of the pampiniform venous plexus of the

scrotum. They are more often unilateral than bilateral, occurring in up to 20% of men most often on the left side.

Although most cases are probably insignificant, varicoceles can decrease sperm count and motility and cause

abnormal morphology. Correction of varicoceles has been shown to improve sperm quality and can increase the

chances of fertility. Percutaneous venous embolization techniques have recently been developed to that end.

Procedural risks include perforation of the vein, intimal dissection, inadvertent embolization of vessels via collateral

channels, and reactions to contrast media. IVC filters are a feasible alternative treatment for deep venous

thrombosis and pulmonary embolism among patients in whom anticoagulants are contraindicated or for those in

whom anticoagulation therapy has failed. Introduced via the femoral or jugular veins, they are permanent metallic

devices placed within the lumen of the IVC to filter thrombi which migrate from the deep veins of the lower

extremities. Contraindications to IVC filter insertion include severe coagulopathy and thrombosis involving all

venous access routes, while complications include hematoma at the insertion site, migration or tilting of the device

due to poor anchoring in the IVC wall, and vena cava obstruction. A pessary is a prosthetic device used to support

pelvic structures when their natural support is lacking. They are usually made of plastic or rubber and inserted into

the vagina to aid in the non-operative treatment of uterine prolapse, proctoceles, and cystoceles. They must be

properly fitted and removed every few months for cleaning. (PubHealth.info Document ID: CONT2T 4580-06)



PubHealth.info NOTE: The author(s) of this article titled, "Radiology rounds. Intrauterine contraceptive device.",

is(are) Margolis M; McLennan MK. The source of this article is "CANADIAN FAMILY PHYSICIAN. 1993 Oct;39:2113,

2283-4.". This article was published in 1993 in English language(s). (PubHealth.info® Document ID: CONT2T 4580-

06. All rights reserved with PubHealth.info) PIN: 9580





 

 

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