Does Uterine Artery Doppler or Copper Intrauterine Device Location by Three Dimensional Transvaginal Ultrasound Correlates with Clinical Symptoms?

Aim of study: To evaluate the effectiveness of using uterine artery color Doppler and location of intrauterine copper device by three dimensional transvaginal ultrasound in relation to abnormal vaginal bleeding and pain. Methods: Three dimensional transvaginal ultrasound examinations were carried out to 180 women 3-6 months after IUD insertion. Seventy six women were suffering from pain (groupI), forty four presenting with abnormal vaginal bleeding (group II), and sixty women with no complaint (group III). The distance between top of the IUD and inner endometrium E-IUD, IUD and fundus F-IUD and ends of IUD to sidewall of uterus S-IUD were measured. Uterine artery pulsitilty index was measured by color Doppler for all women. Results: No statistical significant differences between the three groups regarding E-IUD, F-IUD and S-IUD. Mean uterine artery pulsitility index was significantly lower in women suffering from pain with IUD than women with excess menses; and both had lower mean pulsitility index than control group (1.1±1.0, 1.8±0.41, 2.4 ±0.8 respectively, P Conclusion: Location of IUD using 3D transvaginal ultrasound did not differ between IUD complaining and non complaining women, however uterine artery pulsitility index is lower in women suffering from bleeding or pain with IUD.