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
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 email@example.com
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
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
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
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
Correct and ongoing use
- low dose medicine
- Mini-pills during lactation
6 - 8
IUD TCu 380A
Diaphragm with spermicidal cream
Only spermicides (foam, creams, gels and vaginal capsules)
Routine abstinence (all methods)
1 - 9
A three-month injection (shot)
LAM (six months)
Source: Adapted from the book: "The Essentials of Contraceptive
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
1. Period loss.
2. Unexpected vaginal bleeding.
3. Late menstrual period followed by scarse and irregular
4. Pelvic pain or cramps in the lower part of the abdomen or
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
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
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
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.
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
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
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
6. Until your gynecologist examines you again, use another
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.