Rekans,
Saya lihat beberapa hari banyak diskusi mengupas masalah KB, kebetulan saya punya
artikel yang berhubungan, tapi sekali lagi, saya tidak sempat menterjemahkan namun
mudah-mudahan tidak mengurangi manfaatnya. Saya akan kirim beberapa kali agar tidak
terlalu panjang. Semoga berguna.
The Intrauterine Device (IUD)
Today's IUD is a highly effective birth control method considered
fairly safe for
most women, but the device does have a checkered past. Popular in
the United
States in the '60s, the IUD was marketed as a good alternative to
hormone-based
methods such as the Pill.
The IUD's popularity went south in the '70s, however, when women
filed
multimillion-dollar lawsuits against the makers of the Dalkon
Shield IUD. Users
complained that the device caused pelvic inflammatory disease
(PID), a
potentially life-threatening infection that leads to infertility
and miscarriages.
Since then, manufacturers have redesigned IUDs to address concerns.
Skeptics
still have their doubts, while supporters say the IUD is a
worthwhile alternative to
hormonal and barrier methods for women.
How it works
Two types of IUDs are now on the market: the ParaGard, a device
containing copper, and Progestasert,
which secretes the hormone progestin. Both are T-shaped and are
made to fit inside your uterus. Fitted
correctly, you shouldn't feel either one.
Nobody knows for sure how IUDs work. Researchers say they may cause
a mild inflammation or
foreign-body reaction, stimulating the body's production of white
blood cells. These cells then immobilize
sperm, prevent them from reaching the egg, and discourage buildup
of the uterine lining.
The progestin in Progestasert thickens cervical mucus, which
prevents sperm from entering the uterus. The
hormone also prevents buildup of the uterine lining.
Reliability
The IUD is one of the most reliable forms of contraception, with a
failure rate of less than one to two
percent. Since you don't have to keep track of daily pills or
remember to use contraception before
intercourse, you have little, if any, chance of human error.
Pluses
The ParaGard IUD (also known as the Copper T) can stay in place for
up to ten years (however, that's true
only for ParaGard IUDs made since 1994). You must replace the
Progestasert IUD only once a year. Some
women who use Progestasert also say they have less menstrual
cramping while using the IUD.
Minuses
The Journal of American Medical Association notes that the IUD's
long association with pelvic
inflammatory disease makes it less than ideal for women who haven't
yet had children or who may want
more. But some doctors and midwives say your chances of getting PID
are rare, especially if you're in a
monogamous relationship. Neither IUD provides protection against
sexually transmitted diseases such as
chlamydia, gonorrhea, syphillis, and HIV infection.
Complaints about the Progestasert IUD mirror those associated with
other hormonal methods such as the
Pill and Norplant, including nausea and headaches. Some hormones
may also leach into breast milk, so
discuss any qualms with your doctor or midwife as well as your
child's pediatrician. If you're a smoker, the
Progestasert IUD may not be a safe choice.
Past users have also complained of spotting between periods with
both types, as well as increased
menstrual flow. The ParaGard has been known to cause more menstrual
cramping.
Talk over any concerns with your medical provider--as with any
other method, you must be comfortable
with the IUD before choosing it as your primary means of birth
control.
Reversibility
Critics say the IUD can sometimes cause pelvic inflammatory disease
and other infections that may mean
you'll have more difficulty getting pregnant. But if you don't have
such problems while using the IUD, your
fertility will be the same as before once you stop using the device.
Hassle Meter
Once properly in place, the IUD is virtually hassle-free. A medical
provider will have to remove it for you. If
you've just had a baby, wait until your six-week postpartum checkup
(when the uterus has returned to
normal size) to be fitted for the IUD.
Some women's partners may feel the IUD's string during
intercourse--not exactly a hassle, but something
to be aware of.
Riefna Azwita Fahmi
Test System Unit RisTI - Telkom
Jl. Gegerkalong Hilir 47 Bandung-Indonesia
E-mail: [EMAIL PROTECTED]
------------------------------------------
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-----Original Message-----
From: Nuraeni Agustiningsih [SMTP:[EMAIL PROTECTED]]
Sent: Tuesday, July 27, 1999 10:04 AM
To: [EMAIL PROTECTED]
Subject: Re: [balita-anda] KB dan Tidak MENS ..
pengalaman saya,
saya juga tidak haid selama pakai KB suntik (-/+ 9 bulan), tapi setelah
ganti pil saya haid lagi (malah lebih teratur dari sebelum persalinan).
salam,
Ibunya Aulia
Kunjungi:
http://www.balita-anda.indoglobal.com
"Untuk mereka yang mendambakan anak balitanya tumbuh sehat & cerdas"
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