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This chapter presents a discussion between fertility experts on sex beyond and after fertility. Health carers and health professionals can have difficulty recognising that older people have sexual needs. They question why the intrauterine system (IUS) uptake rate is so low considering it is such a suitable form of contraception and also has added healthcare benefits. Primary general practitioners underprescribe long-acting methods including IUS. In a recent survey in the USA, 30% of obstetricians and gynaecologists said that they worry about the use of intrauterine devices because of infection. It is a myth that the IUS cannot be used in nulliparous women as it is going to cause infertility and all of those things. There was a European study in the 1980s, with a prototype IUS releasing 20 micrograms per 24 hours of levonogestrel versus a copper intrauterine device (IUD).
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