Permasalahan Umum pada Pasien dengan Kontrasepsi IUD

Oleh :

dr. Jocelyn Prima Utami

Intrauterine device (IUD) atau alat kontrasepsi dalam rahim (AKDR) merupakan salah satu metode kontrasepsi yang umum digunakan oleh masyarakat. Metode ini memiliki banyak kelebihan, seperti efektivitas yang baik, sifat yang reversibel, biaya yang relatif terjangkau, dan durasi penggunaan yang panjang. Namun, penggunaan IUD juga dapat menyebabkan permasalahan, seperti dysmenorrhea, ekspulsi, dan infeksi.

Dokter di fasilitas pelayanan kesehatan primer perlu memahami cara mengevaluasi dan menangani komplikasi yang mungkin dialami pengguna IUD.[1,2]

Sekilas tentang Penggunaan IUD sebagai Metode Kontrasepsi

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

1. Lanzola EL, Ketvertis K. Intrauterine Device. StatPearls Publishing. 2021. https://www.ncbi.nlm.nih.gov/books/NBK557403/#!po=11.9048
2. Milton SH, Karjene NW. Intrauterine Devices Insertion. Medscape. 2018. https://emedicine.medscape.com/article/1998022-overview#a2
3. Hsia JK, Creinin MD. Intrauterine Contraception. Semin Reprod Med. 2016 May;34(3):175-82. doi: 10.1055/s-0036-1571438.
4. Friedman J, Oluronbi RA. Types of IUDs and Mechanism of Action. Optimizing IUD Delivery for Adolescents and Young Adults. Springer: 2019. https://doi.org/10.1007/978-3-030-17816-1_3
5. Krishnamoorthy K, Verma U. Intrauterine Devices (IUD): Clinical Aspects, Side Effects and Potential Complications. Advances in Medicine and Biology. 2017 Jan 1;120:73-112.
6. Akintomide H. Improving information on intrauterine contraception: providing advice in primary care. BJGP. 2019 Feb 1;69(679):98-9.
7. Rumopa KA, Wantania J, Sondakh J. The Side Effects of Intracesarean Intrauterine Contraception: A Descriptive Study. Indonesian Journal of Obstetrics and Gynecology. 2017 Nov 1:139-41.
8. Greenberg KB. Consenting and Pre-procedural Counseling for IUD Insertion: What to Expect and What to Talk About. Optimizing IUD Delivery for Adolescents and Young Adults. Springer: 2019.
9. Adeyemi-Fowode OA, Bercaw-Pratt JL. Intrauterine devices: effective contraception with noncontraceptive benefits for adolescents. Journal of Pediatric and Adolescent Gynecology. 2019 Sep 1;32(5):S2-6.
10. Bassis CM, Allsworth JE, Wahl HN, et al. Effects of intrauterine contraception on the vaginal microbiota. Contraception. 2017 Sep 1;96(3):189-95.
11. Elnasr IS, Ammar H, Nasef AA. Prevalence of aerobic bacterial vaginosis among chronic IUD users among Egyptian women. MOJ Women’s Health. 2019;8(6):317-21.
12. Adeyemi-Fowode OA, Bercaw-Pratt JL. Intrauterine devices: effective contraception with noncontraceptive benefits for adolescents. Journal of Pediatric and Adolescent Gynecology. 2019 Sep 1;32(5):S2-6.
13. Anthony MS, Reed SD, Armstrong MA, et al. Design of the Association of Uterine Perforation and Expulsion of Intrauterine Device study: a multisite retrospective cohort study. American Journal of Obstetrics and Gynecology. 2021 Jan 15.
14. Coles MS. Follow-up after IUD insertions: managing IUD expectations, addressing side effects, and providing post-insertion counseling. Optimizing IUD Delivery for Adolescents and Young Adults. Springer: 2019. https://doi.org/10.1007/978-3-030-17816-1_3
15. Prine L. Long-Acting Reversible Contraception: Difficult Insertions and Removals. Am Fam Physician. 2018 Sep 1;98(5):304-309.

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