Information

The information on this site does not substitute gynecologist consult. Always consult a doctor if you need extra information about this and other contraceptive methods.

OPTIMA IUD TCu 380A - Copper intrauterine device

Presentation

Description

How OPTIMA IUD TCu 380A works as a contraceptive method

Efficacy

Rates of ongoing use

No contraceptive protection after OPTIMA IUD removal

What your gynecologist should know about you

Special care for OPTIMA users

How OPTIMA is inserted and removed

Checking your OPTIMA IUD

Regular appointments with your gynecologist

 

Presentation

IUD TCu 380A copper intra-uterine contraceptive devices are widely tested in the United States and in other countries. The IUD TCu 380A is the most widely used model of IUDs in copper and it has been approved for clinical use almost all around the world. Although it is the most efficient and safe model in copper, like other methods, its use is associated with some kind of risk.

This section gives you information about the use of intra-uterine devices (IUDs) in general, and especially about an IUD TCu 380A. Before making up your mind and deciding which contraceptive method you are going to use, you should read this information and talk to your gynecologist about any doubts you may have about an IUD TCu 380A, other kinds of IUDs and other contraceptive methods.


A more detailed and technical leaflet, directed to Doctors, is available. In case you want to read it, please request a copy by e-mail addressed to injeflex@injeflex.com.br


An IUD TCu 380A is more suitable for women who have not had a history of pelvic infection or a sexually transmitted disease in the last three months. It is also a contraceptive device more appropriate for women who want to have a long-lasting reversible method.

 

Description

A 380A TCu IUD is a contraceptive that contains copper and is inserted into the uterus to avoid pregnancy. An IUD has the shape of a flexible T made of polyethylene, the shaft of the T is wrapped up with a copper thread and each arm of the "T' has a copper cylinder. A 380A TCu IUD should be substituted by a new one every 10 years in order to maintain contraceptive efficacy. The two threads passing through the uterine cervix measure 2 or 3 centimeters and are to indicate the presence of a 380A TCu IUD as well as to enable its easier removal.

 

How OPTIMA IUD TCu 380A works as a contraceptive method

 

The contraceptive efficacy of an IUD is obtained by the ongoing release of copper inside the uterine cavity (cavum uteri). This interferes with the number and transport of sperms, making it difficult for the egg to move through the Fallopian tube, obstructing the fertilization (that is, when the male sperm fertilizes the female egg). IUDs do not avoid ovulation and do not cause abortion.

 

Efficacy

 

Studies show that less than 1% of nonstop IUD TCu 380A users get pregnant. This means that less than one in every 100 women who have used an IUD TCu 380A for a year gets pregnant.

Table 1 - Methods - Monthly injections

Method
Correct and ongoing use
Ordinary
None
85
85
Oral contraceptives
- low dose medicine
- Mini-pills during lactation
0.1
0.5
6 - 8
1
IUD TCu 380A 0.6 0.8
Condom 3 14
Diaphragm with spermicidal cream 6 20
Only spermicides (foam, creams, gels and vaginal capsules) 6 26
Routine abstinence (all methods) 1 - 9 20
A three-month injection (shot) 0.3 0.3
IMonthly injections 0.1 0.3
LAM (six months) 0.5 2
Female condom 5 21
Female sterilization 0.5 0.5
Male sterilization 0.1 0.1

Source: Adapted from the book: "The Essentials of Contraceptive Johns Hopkins"

 

Rates of ongoing use

IUD users usually stick to it for longer than users of other reversible contraceptive methods. The ongoing rate in a year is approximately 86 in every 100 users. Wishing to have a baby is among other personal reasons for coming off the use of an IUD.


Population Information Program, 1998
*Newton, J.R.J. Obstet.Gynaecol, 1994

 

No contraceptive protection after OPTIMA IUD removal

After the disruption of IUD TCu 380A use, its contraceptive effect finishes. When removed, the woman can get pregnant as fast as a woman who has not used an IUD.

 

What your gynecologist should know about you

Before the insertion of an IUD TCu 380A, you are responsible for giving your gynecologist a full report of your medical history. Inform your gynecologist if you had or suspect that you already had or have cardiac, metabolic or uterine disease.

 

Special care for OPTIMA users

 

If you have an OPTIMA IUD TCu 380A inserted, you should report your gynecologist any of the following symptoms:

1. Period loss.
2. Unexpected vaginal bleeding.
3. Late menstrual period followed by scarse and irregular period.
4. Pelvic pain or cramps in the lower part of the abdomen or unreasonable fever.
5. Discovery of sexually transmitted diseases (STD). Use of OPTIMA does not avoid STD.
6. Genital wounds or lesions, or fever followed by genital flow.
7. Severe or extended menstrual flow.
8. Desappearance of polyethylene threads or painful sexual intercourse.

 

How OPTIMA is inserted and removed

Your gynecologist will examine you before the insertion of an IUD, in order to determine the size, shape and position of the uterus. A tool, known as speculum, will keep your vagina open to have the cervix (the entrance of the uterus) examined (you may feel a pressure while the speculum is being inserted).


The cervix and the vagina will be cleaned with an antiseptic solution, and the cervix will be held by an instrument called Pozzi tweezers. This instrument is to keep the uterus still during insertion.


Then your gynecologist will introduce a narrow instrument called hysterometer, which measures the uterine cavity depth.

At that point your gynecologist will introduce an OPTIMA IUD TCu 380A (the arms of the T) through the vagina and the cervix, into the uterus. After the applicator has been removed, the threads tied to the extreme edge of the T, are trimmed. The threads extend as far as 2 or 3 centimeters, at the most, inside the vagina through the cervix. The Pozzi tweezers and the speculum are removed.


During removal from the uterus, the arms of the T will be bent up when the doctor pulls the IUD threads. Your gynecologist should advise you the appropriate moment for substitution or removal of your OPTIMA.

 

Checking your OPTIMA IUD

You may perform a self-examination to check the position of your OPTIMA IUD.

Self-Examination Procedure

1. Wash your hands.
2. Crouch or sit on the toilet seat.
3. Insert your middle or index finger deeply in your vagina and locate your cervix; you can touch it as if it was the point of your nose.
4. Touch the threads of the OPTIMA IUD. If you can touch the threads, the OPTIMA IUD is in the correct place. You should not pull the threads, if you do so, you will misplace your OPTIMA IUD.
5. If you are not able to touch the threads, or if you can touch the IUD, that is because it is probably out of place or it is exiting the uterus. Also if you or your partner can feel the OPTIMA IUD during a sexual intercourse, it means that your IUD has moved.
6. Until your gynecologist examines you again, use another contraceptive method.
Call your gynecologist to make an appointment.
 

 

Regular appointments with your gynecologist

1. It is recommended that you return to the gynecologist three months after insertion.
2. OPTIMA IUD TCu 380A is a long lasting contraceptive. Your gynecologist must advise you the best moment for re-insertion or removal of your OPTIMA IUD TCu 380A.
3. The use of IUDs aloud the appropriate use of tampons or douches. You can talk about this with your gynecologist.

 

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