Performance of the copper T 200 in parous adolescents: Are copper IUDs suitable for these women?

Dı́az, Juan; Neto, Aarão Mendes Pinto; Bahamondes, Luís; Díaz, Margarita; Arce, Ximena Espejo; Castro, Simone Martins de

doi:10.1016/0010-7824(93)90062-c

Cited by 37 publications

(24 citation statements)

References 12 publications

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“…This observation is in accordance with previous trials evaluating the expulsion rate of copperdevices [15,17]. Predictors of copper-IUD expulsions are young age, excessive length of the endometrial cavity, reinsertion after expulsion, nulliparity and heavy menstrual flow [2,13,19,20]. There is little evidence concerning risk factors for the expulsion of the LNG-IUD.…”

Section: Discussionsupporting

confidence: 90%

“…This trend was more pronounced in LNG-IUD users. Nulliparity, but not higher parity, has been reported to be a risk factor for IUD expulsions by other authors [20]. It is reasonable to hypothesize that higher parity is often associated with higher uterine sounding depth and a larger uterine cavity.…”

Section: Discussionmentioning

confidence: 73%

“…There is little evidence concerning risk factors for the expulsion of the LNG-IUD. Diaz et al [20] found an increased risk for dislocations in parous adolescents. The expulsion rate for the LNG-IUD has been reported to be slightly increased in women younger than 25 years [15].…”

Section: Discussionmentioning

confidence: 97%

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Partial and complete expulsion of the Multiload 375 IUD and the levonorgestrel-releasing IUD after correct insertion

Merki‐Feld¹,

Schwarz²,

Imthurn³

et al. 2008

European Journal of Obstetrics & Gynecology and Reproductiv

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Objective: The contraceptive efficacy of intrauterine devices (IUD) is thought to relate to the position of the IUD in the uterine cavity. Several trials examined the number of copper IUD expulsions, but none evaluated the partial and complete expulsion rate of the levonorgestrelreleasing device (LNG-IUD).Study design: This retrospective cohort study compares the dislocation rate of the Multiload 375 IUD (ML 375) and the LNG-IUD in 214 women (107 subjects with each IUD). Transvaginal ultrasound was used to monitor the IUD position immediately after insertion, after 6 weeks, and later on at intervals of 6 months. The observation period included 3631 cycles.Results: We detected a significantly lower number of dislocations in LNG-IUD users. Previous expulsion was associated with a significantly higher risk for a re-expulsion in both IUD groups. Hypermenorrhea was not associated with an increased dislocation rate in LNG-IUD users. Conclusion: Expulsions are less likely to occur with the LNG-IUD, which might contribute to its contraceptive efficacy. #

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 73%

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Partial and complete expulsion of the Multiload 375 IUD and the levonorgestrel-releasing IUD after correct insertion

Merki‐Feld¹,

Schwarz²,

Imthurn³

et al. 2008

European Journal of Obstetrics & Gynecology and Reproductiv

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“…Pregnancy rates were also very low in the group of re-insertions and first insertions. This is not surprising for cohorts where more than 70% of the women are 30 years or older and parous at insertion [8].…”

Section: Discussionmentioning

confidence: 72%

Clinical performance of the Copper T200B IUD after reinsertion following life-span expiration

et al. 1994

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The purpose of this study was to evaluate the first year clinical performance of the TCu200B IUD in a cohort of women who had the IUD re-inserted immediately after a removal for life-span expiration, compared with a group of initial acceptors, and a cohort of women who continued using the device for more than 60 months. The sample consisted of 1066 users, 339 in each of the two first groups and 388 in the third. Life-table analysis was used to calculate continuation and gross discontinuation rates by reason. Statistical significance of the differences between groups was tested by log-rank method. Pregnancy rates were low, both in the group of re-insertions and first insertions, and no pregnancies occurred in the group using the device beyond the fifth year. The expulsion rate and lost-to-follow-up (LFU) rate were significantly lower in the group of women who used the device beyond the fifth year. In addition, this group showed a significantly higher rate of removal for investigator's choice. These results show that there is no reason to recommend the removal and replacement of the TCu200B before the end of the sixth year of use. When a new IUD is to be inserted after removal for life-span expiration, providers should be instructed to insert it immediately after the removal, because this procedure does not pose additional risks, reduces the number of clinic visits, and relieves the women of the use of a temporary method while waiting for the re-insertion.

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“…Treatment depends on the type. If perforation is suspected during insertion, removal of IUD will suffice [4]. Complete perforation through the wall of the uterus may require laparoscopic removal or laparotomy by an expert.…”

Section: Discussionmentioning

confidence: 99%

Incidence Of Major Drug Interactions And Associated Adverse Drug Events In A Surgical Intensive Care Unit

2003

IJPHARM

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Performance of the copper T 200 in parous adolescents: Are copper IUDs suitable for these women?

Cited by 37 publications

References 12 publications

Partial and complete expulsion of the Multiload 375 IUD and the levonorgestrel-releasing IUD after correct insertion

Partial and complete expulsion of the Multiload 375 IUD and the levonorgestrel-releasing IUD after correct insertion

Clinical performance of the Copper T200B IUD after reinsertion following life-span expiration

Incidence Of Major Drug Interactions And Associated Adverse Drug Events In A Surgical Intensive Care Unit

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