The unforeseen psychological, behavioral and physiological complications associated with intra uterine device use contraceptions
An earlier retrospective cohort study from Bangladesh (n = 330) reports 47.3% of women discontinued the IUD by 1 year after insertion; discontinuation was associated with menstrual bleeding, doubling of menstrual days, blood loss, abdominal pain, and sociopsychological boundaries. During menstrual periods, women in south Asia often face social and cultural isolations that may turn into an abusive, violent, and disrespectful environment if male members of the family find IUD insertion as the cause of abnormal bleeding.2
Beyond psychological, behavioral, and physiological adversities, IUD insertion does not provide protection against sexually transmitted disease such as transmission of human immunodeficiency virus (HIV).3 Also, that hormonal IUDs are suspected to accelerate HIV infection may increase psychological pressure in women opting for long-term contraception devices.3 However, any decision that cuts down use of hormonal contraception for women at higher risk of acquiring HIV can be more harmful than expected goodness.3 Use of the copper-based IUD may counter this argument because these devices does not involve the use of hormones.