Iud In Position

The intrauterine device (IUD)

Once fitted, many IUDs can be left in place for up to 5 years. Some IUDs contain copper, which kills sperm, but the main effect of all IUDs is to prevent fertilized eggs from implanting in the uterus.

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Could you remember to take a pill reliably at the (yes same time each day? j

Have you ever had any of the following?

• An infection of the reproductive tract

• A pregnancy outside the uterus (an ectopic pregnancy)

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Do you have high J--

blood pressure, or have IYES j you ever had a blood clot in a leg vein (deep vein thrombosis)?

Do two or more of the following apply?

• You are overweight

ACTION You can choose from the whole range of contraceptive methods (see methods of contraception, above). There is unlikely to be a medical restriction on your choice.

ACTION You can choose from the whole range of contraceptive methods (see methods of contraception, above). There is unlikely to be a medical restriction on your choice.

ACTION The progestogen-only pill (see Methods of contraception, above) may suit you. It alters your hormone balance, preventing conception, and is suitable for women who have medical conditions that prevent them using the combined oral contraceptive pill; however, if a pill is taken more than 3 hours late, protection is substantially reduced.

ACTION A barrier method, such as a diaphragm or condoms, may be the best choice for you; alternatively, an intrauterine system (IUS) may be an appropriate method (see methods of contraception, above).

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ACTION A barrier method or an IUD may suit you; alternatively, progestogen injections or a progestogen implant are possible options (see Methods of contraception, above).

J41 Nausea and vomiting in pregnancy

Consult this chart only after reading chart 98, Vomiting (p.210).

Most women experience some nausea and vomiting during the first 3 months of pregnancy. These symptoms are known as morning sickness, although they can occur at any time of day, especially when a woman is tired or hungry. Morning sickness is probably caused by the dramatic hormone changes of early pregnancy. Symptoms may be relieved by self-help measures, and usually improve around the 12th week of pregnancy. Vomiting that begins later in pregnancy may be due to a urinary tract infection or to a problem unrelated to the pregnancy, such as food poisoning.

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