The intrauterine contraceptive device is a potentially important factor in the world population problem, primarily became it provides an effective method of contraception that does not require continuous motivation on the part of the user. In addition, its cost is trivial, its insertion requires only a few minutes, and normal fertility returns quickly after its removal. There is also some reason (1, 2) to hope that the difficulties in its use, such as expulsions and rare pregnancies, can be overcome, since we still have much to learn about it. Even the basis of its contraceptive action remains unknown.Previous observations in the rat and other species indicated that a foreign body in the uterus had no systemic effect, but only a local effect in the uterus. This local effect in the uterus appeared to be a direct toxicity for blastocysts or spermatozoa, rather than an inhibition of implantation. For example, a foreign body in the rat uterus (3, 4) had no effect on fertilization or tubal transport of ova, but a few hours after blastocysts entered the horn containing a foreign body they could no longer be recovered; blastocysts could be recovered from control horns for about 24 hr. Thus, in the rat horn containing a foreign body, blastocysts were no longer present at the time of implantation. In the mouse (5), similar observations were made, and in addition it was noted that spermatozoa were killed. In the sheep (6), spermatozoa were killed in the uterus and fertilization was prevented. And in the rabbit (7), pregnancy occurred throughout the uterus except for the portion in direct contact with the foreign body. Observations such as these have led to the notion that a foreign body creates a hostile environment in the uterus (8). The experiments reported here clarify the role of inflammation and of infection in the infertility of uteri containing a foreign body. fig. 1 is a diagram of the rodent uterus, detailing the regions of special interest in these studies. The region FB (foreign body) was the segment of the uterine horn which contained
Materials and Methods
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