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Drug and Therapeutics Bulletin 2002;40:21-22; doi:10.1136/dtb.2002.40321
Copyright © 2002 by the BMJ Publishing Group Ltd.

Frameless intra-uterine contraceptive device

Relevant BNF section: 7.3.4

Modern copper-containing contraceptive intra-uterine devices (IUDs) typically comprise a solid plastic frame loaded with copper wire and/or copper sleeves. Although they are very effective (annual pregnancy rates generally below 1%), some women discontinue their use within a year after insertion because of excessive bleeding and/or painful periods (4-15%), or because the device has been spontaneously expelled (2-8%).1 GyneFix (Contrel) is a new IUD approved for up to 5 years of use. Its manufacturer claims that the device produces fewer unwanted effects, and is less likely to be expelled, than conventional IUDs because it does not have a plastic frame (a frameless device). Here we assess these claims.


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