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    For many years, the intrauterine device (IUD) has been a contraceptiv choice for women. In 1995, the IUD was used by 11.9 percent of women of reproductive age worldwide, but by only 1.5 percent of women in North America.1 A potential reason for this difference in use is the negative perception of IUDs created as a result of complications associated with the Dalkon Shield.

    The Dalkon Shield was an IUD introduced in 1970 and recalled in 1975.

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  • It was associated with a significant incidence of pelvic inflammatory disease (PID) because its multifilament threads were believed to be prone to transmitting bacteria into the uterus and fallopian tubes.

    Today, two IUDs are approved for use in the United States: a copper-releasing device (ParaGard) and a hormone-releasing device (Mirena).

    Both IUDs have monofilament threads that minimize the risk for bacteria transmission.

    The copper-releasing IUD (Figure 1) is a T-shaped polyethylene device with 380 mm2 of exposed surface area of copper on its arms and stem.

    The released copper ions interfere with sperm mobility and incite a

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