Experience with GyneFIX® insertions in Spain: favorable acceptance of the intrauterine contraceptive implant with some limitations

Martínez, Francisca; Giménez, E. García; Hernández, Guillem; Alvarez, David Bouza; Tejada, Mauricio; Garcı́a, Paz; Ruiz, Caridad; Abril, Carlota; Izquierdo, Blanca; Avecilla, Àngels; Ramirez, Angels; Cadiñanos, Mar; Dominguez, Nuria; Doval, José Luis; Rodriguez, Ma Jesus; Rodríguez, Vicente Rodríguez; Turrado, Vicenta; Omar-Fayez, Abu

doi:10.1016/s0010-7824(02)00392-x

Cited by 10 publications

(7 citation statements)

References 13 publications

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“…A working group of Spanish professionals (GESEG), formed specifically with the aim of studying the frameless IUD, conducted a prospective, multicenter, observational study of GyneFix in 1684 women 25. The study focused on difficulties encountered during the insertion procedure and symptoms experienced during insertion.…”

Section: Resultsmentioning

confidence: 99%

“…Following training, providers can improve their skills and create confidence in the anchoring technique by using the home uterine model (Figure 13) before they start insertions in their patients. Unfortunately, this highly useful training material has only been available in recent years and this is one of the weaknesses that resulted in a number of failed insertions and early expulsions in two studies reported in this paper 19,25…”

Section: Discussionmentioning

confidence: 99%

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Precision intrauterine contraception may significantly increase continuation of use: a review of long-term clinical experience with frameless copper-releasing intrauterine contraception devices

Wildemeersch¹,

Pett²,

Jandi³

et al. 2013

IJWH

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ObjectiveThe purpose of this paper is to review the experience with the frameless, anchored, GyneFix copper-releasing intrauterine contraceptive devices (IUCDs/IUDs) (Contrel Europe, Belgium), and to demonstrate their high acceptability and low rate of discontinuation of use, which could contribute to current efforts that aim to reduce radically the high number of unintended pregnancies and induced abortions, particularly in young women.Materials and methodsThis paper is based on studies that examined the differences in uterine volume and cavity size, related to age and parity, and on original clinical research data and practical experience with frameless copper IUDs, as well as on literature data on the IUD–endometrial cavity relationship of conventional IUDs, with special reference to side effects and user discontinuation.ResultsThe mean transverse diameter in nulliparous and parous women is significantly less than the length of the transverse arm of the TCu380A IUD (ParaGard, Duramed, NY, USA) or the levonorgestrel intrauterine system (Mirena, Bayer, Germany). Small, frameless, flexible, and unidimensional copper IUDs appear to be well tolerated, with less impact on menstrual bleeding, resulting in low discontinuation rates when compared with standard-size conventional IUDs, which often result in increased expulsion rates, complaints of pain and erratic or increased menstrual bleeding, and subsequent high rates of discontinuation, particularly in young women.ConclusionThe unidimensional GyneFix IUDs fit the majority of uterine cavities. An IUD that fits is likely to result in increased tolerance and continued use of the method. As this would appeal to women, the logical result should be greater use of the method and fewer unintended pregnancies and induced abortions. Recommending the standard TCu380A (ParaGard) IUD or the Mirena levonorgestrel intrauterine system, primarily developed for use in parous women, for general use in nulliparous and adolescent women should be done with caution in the light of current scientific evidence, except if 3-D sonography indicates that the uterine cavity is sufficiently large.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Precision intrauterine contraception may significantly increase continuation of use: a review of long-term clinical experience with frameless copper-releasing intrauterine contraception devices

Wildemeersch¹,

Pett²,

Jandi³

et al. 2013

IJWH

View full text Add to dashboard Cite

show abstract

“…This is in agreement with clinical experience, which shows that the majority of cases of perforation is detected during the learning process, and occur exclusively in connection with insertion. The highest rate that has been observed is 1.4/1000, but this rate fell to approximately 1/1000 with increasing experience 32 . At least one perforation has occurred, which was attributed to migration of the IUS 33 .…”

Section: Side‐effectsmentioning

confidence: 96%

“…However, migration seems only possible if a partial perforation occurred at the time of insertion. As the IUS is frameless and flexible, it is unlikely that the device is forced through the uterine wall by uterine contractions, as has been suggested as a possible mechanism of perforation with framed IUDs 32 …”

Section: Side‐effectsmentioning

confidence: 99%

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The ‘frameless’ intrauterine system for long‐term, reversible contraception: A review of 15 years of clinical experience

Wildemeersch

Batar

Affandi

et al. 2003

J of Obstet and Gynaecol

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Young nulliparous/nulligravid and parous women may significantly benefit from the advantages the 'frameless' IUS, which could be strategically important to help in reducing the increasing number of unintended pregnancies and induced abortions worldwide. Furthermore, the 'frameless' IUS has been shown to be highly effective for emergency contraception and for immediate postabortal insertion. The long lifespan of the IUS could constitute a cost-effective reversible alternative to irreversible female sterilization.

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Three-year efficacy and acceptability of the GyneFix® 200 intrauterine system

Cao¹,

Zhang²,

Xuan³

et al. 2004

Contraception

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Experience with GyneFIX® insertions in Spain: favorable acceptance of the intrauterine contraceptive implant with some limitations

Cited by 10 publications

References 13 publications

Precision intrauterine contraception may significantly increase continuation of use: a review of long-term clinical experience with frameless copper-releasing intrauterine contraception devices

Precision intrauterine contraception may significantly increase continuation of use: a review of long-term clinical experience with frameless copper-releasing intrauterine contraception devices

The ‘frameless’ intrauterine system for long‐term, reversible contraception: A review of 15 years of clinical experience

Three-year efficacy and acceptability of the GyneFix® 200 intrauterine system

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