Clinical performance of the TCu 380A and Lippes Loop IUDs in three developing countries

Farr, Gaston; Amatya, Ramesh; Acosta, Manuel; Ekwempu, C.C.; Kisninci, Husnu

doi:10.1016/0010-7824(95)00119-u

Cited by 12 publications

(5 citation statements)

References 19 publications

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“…15 Secondary dysmenorrhoea is one of the side effects of the intra-uterine device, especially the inert devices that are commonly used in this environment 10,12 and this may also explain the significant association of this type of dysmenorrhoea with contraceptive use.…”

Section: Discussionmentioning

confidence: 99%

“…4,[6][7][8][9] Dysmenorrhoea may be secondary to conditions such as pelvic inflammatory disease, intra-uterine contraceptive devices, endometriosis, uterine fibroids, and adenomyosis. [10][11][12] The diagnosis of premenstrual symptoms and dysmenorrhoea is based on history alone although a physical examination should be carried out to exclude other causes of the symptoms. 1,13 Although the cause of these symptoms is not clear, it is believed that most of them are due to changes in the levels of some hormones and their metabolites such as prolactin, oestrogen, progesterone, endorphins, and prostaglandins, and their interactions with neurotransmitters and neurohormonal systems such as serotonin, GABA, cholecystokinin and the renin-angiotensin-aldosterone system.…”

Section: Introductionmentioning

confidence: 99%

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Premenstrual symptoms and dysmenorrhoea among muslim women in Zaria, Nigeria

2007

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Background/objective: To document the premenstrual and menstrual symptoms of Muslim women, with a view to providing adequate and sensitive care. Methods: Two hundred Muslim women were interviewed at Ahmadu Bello University Teaching Hospital and Muslim Specialist Hospital, both in Zaria between August and October 2003. Results: Premenstrual symptoms were present in 23.8% of the women and breast pain was the commonest symptom (50%). Self-medication was practiced by those who needed medication for the premenstrual symptoms (29.8%). Premenstrual symptoms were significantly associated with lower parity (p = 0.02), previous (p = 0.03) and current (p = 0.01) contraceptive use and dysmenorrhoea (p = <0.001). Dysmenorrhoea was present in 36.4% and was significantly associated with lower age (p = 0.03), and lower parity (p = 0.01). Conclusions: Health care workers and the general public need to be aware of premenstrual symptoms and dysmenorrhoea in order to provide adequate care and support that is sensitive to Muslim women's needs. Health care providers should also be aware that premenstrual symptoms are more likely to coexist with dysmenorrhoea and provide therapies that can cater for both problems whenever possible. Conclusion:Des médecins des soins médicaux et la publique en général sont besoin d'avoir une connaissance sur des symptômes prémenstruel et la dysmenorrhée afin de fournir des soins adéquats et de donner des soutients qui sont sensitifs visant aux besoins des femmes muslèmes. Les médecins des soins médicaux devraient également avoir connaissance qui souligne que des symptômes prémenstruels sont plus probablement de co-éxister avec la dysmenorrhée et donner des thérapies qui peuvent resoudre les deux problèmes aussi souvent que possible.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Premenstrual symptoms and dysmenorrhoea among muslim women in Zaria, Nigeria

2007

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“…This is at variance with the earlier finding from Jos [8] where all the clients who discontinued IUCD had at least one living child. This contraceptive is acceptable to women who did not have children, and surveyed family planning providers around the world have reported some misbeliefs among their clients including the use of IUCD only by older women or women who have had children [22][23][24][25][26]. This was not seen in this study.…”

Section: Anyaka Charles Et Al: Discontinuation Pattern Among Intrautmentioning

confidence: 77%

Discontinuation Pattern Among Intrauterine Contraceptive Device Users at Jos University Teaching Hospital, Jos, Nigeria

Charles¹

2016

JGO

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Abstract:Context: Despite the high uptake of the intrauterine contraceptive device (IUCD), among family planning clients at Jos University Teaching Hospital (JUTH), some users discontinued its use for a variety of reasons. Objectives: To determine the discontinuation rate and factors responsible among IUCD users in the hospital over a 3 year period. Study Design: This was a 3 year retrospective descriptive study of all clients requesting for the removal of intrauterine devices (IUCDs) at the Family Planning clinic Jos University Teaching Hospital, Jos Nigeria. The study period was between January 1 st 2005 and December 31 st 2007. Results: A total of 849 clients were seen during the study period; 393 (46.3%) clients discontinued within 3 years with the highest rate at 1 year 24.2%. All the women were married with 0.8% of the clients been nullipara. The most common reasons for discontinuation were the desire for pregnancy (50.9%), excessive menstrual bleeding (10.4%), vaginal discharge PID (9.0%) and others. The mean age of the clients was 33.6 ± 5.2 years. Conclusion: The discontinuation rate of IUCD in the family planning clinic at Jos University Teaching Hospital is high. More effective counseling may be appropriate for alternative contraceptive methods for this category of clients instead of the IUCD's currently being used. The findings suggest a need for training the care providers to prevent early discontinuation of IUCD among JUTH clients and by addressing the health challenges via proper counseling, effective follow-up and prompt referral in case of complications.

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“…For instance, one study of the much maligned Nova T 200 had the lowest failure rate of all the quoted studies with no failures in the first year (in a sample size of 438 women), which was from our own UK Family Planning Research Network study published in 1989. 2 As recently as 1995 Farr et al reported a comparative study of the Copper T 380A and the Lippes Loop, 3 giving a failure rate of 2.1 for the Lippes Loop and a potentially impressively low rate for the Copper T 380A of 0.7, but with the sample size of 710 the distribution of the handful of pregnancies between the groups was not statistically significant (p = 0.25). In fact it is interesting to note that also in the July Journal the study published on the Mirena IUS had a low pregnancy rate of 0.6 at 12 months, but as this figure is derived from three accidental pregnancies in a sample size of 692 this does not demonstrate a statistically significant improvement on many of the other devices I have mentioned.…”

Section: Rosemarymentioning

confidence: 96%