All are mechanisms of IUCDs except:
Mechanism of Action: Several mechanisms are responsible for the contraceptive effect of an IUCD. The presence of a foreign body in the uterine cavity renders the migration of spermatozoa difficult. A foreign body within the uterus provokes uterine contractility through prostaglandin release and increases the tubal peristalsis so that the feilized egg is propelled down the fallopian tube and more rapidly than in normal and it reached the uterine cavity before the development of chorionic villi and thus is unable to implant. The device in situ causes leucocytic infiltration in the endometrium. The macrophage engulf the feilized egg if it enters the endometrial tissue which inimical to the implantation of the feilized ovum Progesterone-carrying device causes alteration in the cervical mucus which prevents penetration of sperm, in addition to its local action. It also causes endometrial atrophy. It prevents ovulation in about 40% Ref: Shaw&;s textbook of Gynaecology 17th edition Pgno: 261
Chronic endometrial inflammation
Increase the motility of tubes
Inducing endometrial atrophy
Inhibition of ovulation in >80% of the users
Contraception