Many more women in the US today rely upon intrauterine devices (IUDs) than in the past. This increased utilization may have substantially contributed to the decline in the percentage of unintended pregnancies in the US. Evidence-based practices have increased the number of women who are medically eligible for IUDs and have enabled more rapid access to the methods. Many women enjoy freedom to us...

OBJECTIVES Many factors are suspected to influence the intrauterine device (IUD) insertion process. This study sought to examine the effects of a few key variables on IUD insertion tolerability, complications and follow-up issues. METHODS A retrospective chart review was undertaken of all IUD insertions over an 11-month period at an urban Canadian women's clinic. Linear regression analysis of...

BACKGROUND Patients using the intrauterine contraceptive device (IUD) were previously advised to undergo routine checks; in 2004, the National Institute for Health and Clinical Excellence stated the practice was unnecessary. This study was conducted to examine the evidence for this advice. METHODS A retrospective examination of case records of patients of Whitehall Medical Practice, Rugby, UK...

BACKGROUND Pain associated with the insertion of an intrauterine device (IUD) is a known barrier to intrauterine contraception use in the UK. It is good practice for health professionals to discuss pain relief and use with women prior to the insertion of an IUD. OBJECTIVES This study aimed to determine the prevalence of and reasons for and against the use of local anaesthesia (LA) for IUD ins...

OBJECTIVE To test the hypothesis that hospital referral for unexplained abdominal pain might occur less frequently in oral contraceptive (OC) users and more frequently in intrauterine device (IUD) users than in other women. DESIGN Prospective cohort study of 17 032 women using different methods of contraception [the Oxford-Family Planning Association (FPA) contraceptive study]. OUTCOME MEAS...

A 28-year-old female presented to the Emergency Department (ED) with a chief complaint of strings protruding from her vagina. The patient also complained of recurrent symptoms of cystitis and occasional hematuria over the past five months without resolution after treatment. The patient underwent ED evaluation and was noted to have strings coated in calculus protruding from her urethral meatus. ...

BACKGROUND All postpartum women, including those who are breastfeeding or have had a cesarean section, appear potentially suited to intrauterine contraception, a long acting reversible contraceptive (LARC). Like any other method used after delivery, it should not interfere with lactation or be affected by cesarean section. STUDY DESIGN We searched the MEDLINE, PubMed, Popline, Google Scholar,...

This is a case report of a 49-year-old woman who presented with offensive vaginal discharge. Her Lippes loop IUD was removed and discovered to have suspicious material attached. Histology report was of endometrial carcinoma. This is the first report of an endometrial carcinoma being completely removed along with an IUD.

The intrauterine device (IUD) is the most popular form of reversible contraception in the world. The United States, however, has extremely low usage rates due to negative beliefs about the safety of its use. This article explores the reason for these false beliefs and why they are only found within the litigious culture of the United States. It seeks to quash the rumors of the danger of inferti...

Background: Infection caused by Neisseria Gonorrhoeae increases the risk of pelvic inflammatory disease (PID). Gonococcal PID tends to be clinically more severe than non-gonococcal ones. The main is present two cases gonococcal PID, with rapid clinical and analytic progression, leading sepsis, but without imaging manifestations. Clinical presentation: 1. 41-year-old patient replacement intraute...