By Hans Lehfeldt (auth.), Uta Landy, S. S. Ratnam (eds.)

The foreign Women's well-being Coalition used to be happy to be the convenor and host of the 1st Christopher Tietze overseas Symposium, held in Berlin in September 1985. The papers during this quantity characterize quite a lot of foreign perspectives and event with the prevention and therapy of contraceptive failure. We think the problems mentioned on the Tietze Symposium to be of curiosity and challenge to girls during the global and to people who could serve them. The Coalition intends to l1'ive vast distribution to this quantity and encourages these attracted to those concerns to be involved with the Coalition in big apple urban (see handle below). we want to thank The Ford beginning, Stewart Mott, The David and Lucile Packard beginning, the inhabitants quandary Committee, and The Uockefeller starting place for his or her aid of this Symposium. particularly we wish to specific our appreciation to Sarah Lewit Tietze and Uta Landy for the devotion ann commitment which made this Symposium attainable and a precious memorial to Christopher Tietze.

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Kaye, D. , Eleman, D. A. Long term safety and use effectiveness of intrauterine devices. Fertil. Steril. 28:937, 1977. Kuchera, L. K. Postcoital contraception with diethylstilbesterol. JAMA 218:562, 1971. Lance, W. , Yuzpe, A. A. Ethinylestradiol and d1+norgestrel as a postcoital contraceptive. Fertil. Ster. 28:932, 1977. Lehfeldt, H. Choice of ethinyl estradiol as a postcoital pill. Am. J. Obstet. Gynecol. 116:892, 1973. , Tatum, H. J. The postcoital copper T. Adv. in Planned Parent 11:24, 1976.

Teaching women to feel for the threads of the IUD, to ensure that it is still in place, is important. Selection of IUD users is particularly important in view of the higher risk of pelvic inflammatory disease (pm) for women with multiple partners. Oral Contraceptives. Oral contraceptives (OCs) are highly effective when they are used properly. Failure rates increase if pills are not taken regularly. The ease of administration, reversibility, and the fact that their use does not interfere with coitus are all major reasons as to why oral contraceptives are so popular.

Both these studies reported that monogamous women using IUDs showed no increased risk of developing infertility. Other stUdies (Ellinor, 1969; Tietze, 1970; Wajntraub, 1970; Zipper, 1971; Tatum, 1975; Erickson, 1976; Kaye, 1977; Sakurabayaski, 1977; Vessey, 1978) reported a return to fertility after discontinuing IUD use that is similar to the return to fertility after discontinuing use of a diaphragm. There was no nausea or dizziness reported with IUD use. IUDs have another advantage in that they can be used for interception up to 6 days after unprotected coitus, while estrogens are not effective after 3 days (Board, 1970, Kuchera, 1971; Lehfldt, 1973; Morris and VanWagenen, 1973; Lippes, 1976; Lippes, 1979).

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