Does Lactation Affect Intrauterine Device Performance?

Abstract

Lactating women are often recommended the IUD as a contraceptive method since it compares favourably with other available contraceptive methods, which either adversely affect lactation or are less effective in preventing pregnancy. Numerous studies, [1-4] have shown that IUDs have no effect on the duration of breastfeeding and the quality and quantity of breast milk. However, very few studies have examined the effect of lactation on IUDs and the findings of those that have, have been controversial. Heartwell and his co-workers reported that women who were lactating at the time of IUD insertion were ten times more likely to have a uterine perforation than those who were not lactating at the time of insertion. Perforation is an uncommon but serious complication following IUD insertion.