Contraception
 
Morning-after IUD
 
What is it?
•    The morning-after IUD is another emergency contraceptive method for women who do not want to become pregnant following unprotected sexual relations.
•    It must be inserted by a physician within seven days of unprotected intercourse.
•    It has the same features as a regular IUD.

 
How does it work?
It prevents a fertilized egg from attaching to the wall of the uterus.

 
How is it used?
The IUD is inserted by a physician, and can be removed after the next normal menstrual period if the woman no longer wishes to use this form of contraception.

 
Advantages

•    The intervention timeframe is seven days, which is longer than the morning-after Pill.

•    It is a highly effective method for avoiding unwanted pregnancy.

 
Disadvantages
•    The morning-after IUD is more complicated and less accessible than the ECP.

•    It does not protect against the transmission of STIs or HIV.

•    It comprises a certain risk of hemorrhaging and painful cramping
during menstruation, in which case the IUD must be removed.

•    There is a slight risk of perforation of the uterus upon insertion.

•    If a woman has an STI, the IUD may spread the infection to the fallopian tubes.

•    Infections in the ovaries and fallopian tubes are more serious and
more common and must be treated early to avoid major complications,
including infertility. In the case of an infection, the IUD is removed
immediately.

 
Cost and effectiveness
•    Cost: $35 to $100. It is not covered by the RAMQ but may be covered by private insurance.
•    Effectiveness: 99%
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