How to become Proficient with Insertion of Frameless IUDS?

Wildemeersch, Dirk

doi:10.15406/ogij.2016.04.00107

Cited by 2 publications

(2 citation statements)

References 28 publications

(27 reference statements)

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“…A recent publication provides further details on how to become proficient with insertion of frameless IUDs. 30 Strictly following the instructions issued by the manufacturer has reduced the perforation rate to ~1/1,000 insertions, which is not higher than the rate observed with framed IUD/IUS. In addition, expulsion rates in the early stages can be nearly eliminated.…”

Section: Discussionmentioning

confidence: 89%

Intrauterine levonorgestrel delivery with frameless fibrous delivery system: review of clinical experience

Wildemeersch¹,

Andrade²,

Goldstuck³

et al. 2017

IJWH

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The concept of using a frameless intrauterine device (IUD) instead of the conventional plastic framed IUD is not new. Frameless copper IUDs have been available since the late 1990s. They rely on an anchoring system to retain in the uterine cavity. The clinical experience with these IUDs suggests that frameless IUDs fit better as they are thin and, therefore, do not disturb or irritate the uterus. High tolerance and continuation rates have been achieved as complaints of pain are virtually nonexistent and the impact on menstrual blood loss is minimal. Conventional levonorgestrel-releasing intrauterine systems (LNG-IUSs) are very popular as they significantly reduce menstrual bleeding and provide highly effective contraception. However, continuation of use remains problematic, particularly in young users. Total or partial expulsion and displacement of the LNG-IUS also occur too often due to spatial incompatibility within a small uterine cavity, as strong uterine contractions originate, attempting to get rid of the bothersome IUD/IUS. If not expelled, embedment ensues, often leading to chronic pain and early removal of the IUD/IUS. Several studies conducted recently have requested attention to the relationship between the LNG-IUS and the endometrial cavity. Some authors have proposed to measure the cavity width prior to inserting an IUD, as many uterine cavities are much smaller than the currently existing LNG-IUSs. A frameless fibrous drug delivery system fits, in principle, in all uterine cavities and may therefore be preferable to framed drug delivery systems. This review examines the clinical performance, acceptability, and potential of the frameless LNG-IUS (FibroPlant®) when used for contraception, treatment of heavy menstrual bleeding, dysmenorrhea, and endometrial suppression in women using estrogen replacement therapy, endometrial hyperplasia, and other gynecological conditions. The review concludes that FibroPlant LNG-IUS offers unique advantages in reducing side effects.

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Section: Discussionmentioning

confidence: 89%

Intrauterine levonorgestrel delivery with frameless fibrous delivery system: review of clinical experience

Wildemeersch¹,

Andrade²,

Goldstuck³

et al. 2017

IJWH

Self Cite

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show abstract

“…As the technique of anchoring is new, health care providers need to learn the correct procedure. A recent publication explains how providers can become proficient to insert and how to check the proper position of the frameless IUD after insertion and at follow-up [39]. Due to the absence of a plastic frame, measuring the size of the uterine cavity is unnecessary which is cost-saving.…”

Section: Expert Opinion Key Findingsmentioning

confidence: 99%

Malposition and displacement of intrauterine devices–diagnosis, management and prevention

Wildemeersch¹,

Hasskamp²,

Goldstuck³

2016

Clin Obstet Gynecol Reprod Med

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How to become Proficient with Insertion of Frameless IUDS?

Abstract: Figure 1: 3D ultrasound illustration of the measurement of the transverse width of the uterine cavity (arrows show the transverse distance which is 20.73 mm in this case).

Cited by 2 publications

References 28 publications

Intrauterine levonorgestrel delivery with frameless fibrous delivery system: review of clinical experience

Intrauterine levonorgestrel delivery with frameless fibrous delivery system: review of clinical experience

Malposition and displacement of intrauterine devices–diagnosis, management and prevention

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